Provider Demographics
NPI:1134456601
Name:DK STEIN INC
Entity Type:Organization
Organization Name:DK STEIN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GABRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-212-8904
Mailing Address - Street 1:18653 VENTURA BLVD
Mailing Address - Street 2:SUITE 724
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4103
Mailing Address - Country:US
Mailing Address - Phone:818-212-8904
Mailing Address - Fax:
Practice Address - Street 1:18653 VENTURA BLVD
Practice Address - Street 2:SUITE 724
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4103
Practice Address - Country:US
Practice Address - Phone:818-212-8904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty