Provider Demographics
NPI:1326367194
Name:STEINBAUM, MYRNA LETICIA (PHLEBOTOMIST)
Entity Type:Individual
Prefix:MRS
First Name:MYRNA
Middle Name:LETICIA
Last Name:STEINBAUM
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 N ASH ST
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-1903
Mailing Address - Country:US
Mailing Address - Phone:176-058-0272
Mailing Address - Fax:176-074-5137
Practice Address - Street 1:733 N ASH ST
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92027-1903
Practice Address - Country:US
Practice Address - Phone:176-058-0272
Practice Address - Fax:176-074-5137
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT16456246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy