Provider Demographics
NPI:1053483065
Name:STEIN, ANDREA L (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:L
Last Name:STEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2118 WILSHIRE BLVD, #466
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403
Mailing Address - Country:US
Mailing Address - Phone:310-453-4600
Mailing Address - Fax:855-437-9295
Practice Address - Street 1:1301 - 20TH, SUITE 100
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404
Practice Address - Country:US
Practice Address - Phone:310-453-4600
Practice Address - Fax:855-437-9295
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG47801207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology