Provider Demographics
NPI:1386650869
Name:STEIN, KIRA DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRA
Middle Name:DANIELLE
Last Name:STEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KIRA
Other - Middle Name:DANIELLE BURT
Other - Last Name:STEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 5805
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-5805
Mailing Address - Country:US
Mailing Address - Phone:310-529-6051
Mailing Address - Fax:888-959-0148
Practice Address - Street 1:325 N MAPLE DR # 5805
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-3428
Practice Address - Country:US
Practice Address - Phone:310-529-6051
Practice Address - Fax:310-740-9061
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA672212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A672210OtherMEDICAL
CAH44057Medicare UPIN
CAWA67221AMedicare ID - Type Unspecified