Provider Demographics
NPI:1295833671
Name:STEINBERG, JONATHAN D (DPM)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:D
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:DPM
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Other - First Name:
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Mailing Address - Street 1:1776 YGNACIO VALLEY RD
Mailing Address - Street 2:#102
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3190
Mailing Address - Country:US
Mailing Address - Phone:925-939-3668
Mailing Address - Fax:925-939-3338
Practice Address - Street 1:1776 YGNACIO VALLEY RD
Practice Address - Street 2:#102
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3190
Practice Address - Country:US
Practice Address - Phone:925-939-3668
Practice Address - Fax:925-944-3338
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAE3634213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE3634OtherLICENSE
CA1295833671OtherNPI
CA1295833671OtherNPI
CAE3634OtherLICENSE