Provider Demographics
NPI:1407547342
Name:DR KAYLEE LYNN STEIN MD MSW BS PRN TELEMETRY
Entity Type:Organization
Organization Name:DR KAYLEE LYNN STEIN MD MSW BS PRN TELEMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEREAVEMENT SPECIALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYLEE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD MSW BS PRN
Authorized Official - Phone:510-260-3984
Mailing Address - Street 1:65-5E STEINEL WAY
Mailing Address - Street 2:4TH
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:510-260-3984
Mailing Address - Fax:
Practice Address - Street 1:65-5E STEINEL WAY
Practice Address - Street 2:4TH
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:510-260-3984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEINEL UNIVERSITY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community Based
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1235568528OtherMEDI-CAL