Provider Demographics
NPI:1144247628
Name:STEINBERG, ALAN JEFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JEFFREY
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8767 WILSHIRE BLVD
Mailing Address - Street 2:FL 2
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2714
Mailing Address - Country:US
Mailing Address - Phone:310-385-6031
Mailing Address - Fax:
Practice Address - Street 1:4644 LINCOLN BLVD
Practice Address - Street 2:#111
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292
Practice Address - Country:US
Practice Address - Phone:310-306-6966
Practice Address - Fax:310-306-0667
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG55097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0026910Medicaid
CAE67057Medicare UPIN
CAWG55097AMedicare PIN