Provider Demographics
NPI:1558453837
Name:STERNBACH, HARVEY ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:ALLEN
Last Name:STERNBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12300 WILSHIRE BLVD
Mailing Address - Street 2:#330
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025
Mailing Address - Country:US
Mailing Address - Phone:310-979-7774
Mailing Address - Fax:310-820-9825
Practice Address - Street 1:12300 WILSHIRE BLVD
Practice Address - Street 2:#330
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025
Practice Address - Country:US
Practice Address - Phone:310-979-7774
Practice Address - Fax:310-820-9825
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG375942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
A47148Medicare ID - Type Unspecified