Provider Demographics
NPI:1003891334
Name:STEINFELD, MARY BETH J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY BETH
Middle Name:J
Last Name:STEINFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3346 SIERRA OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-5729
Mailing Address - Country:US
Mailing Address - Phone:916-703-0271
Mailing Address - Fax:
Practice Address - Street 1:2825 50TH ST
Practice Address - Street 2:UC DAVIS DEPARTMENT OF PEDIATRICS
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2308
Practice Address - Country:US
Practice Address - Phone:916-703-0271
Practice Address - Fax:916-703-0243
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG0596762080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G0596760Medicaid
CAE64337Medicare UPIN