Provider Demographics
NPI:1861440430
Name:STEIN, ALEXANDER GEOFFREY (MD)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:GEOFFREY
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8635 W 3RD ST STE 865W
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-6140
Mailing Address - Country:US
Mailing Address - Phone:310-854-1904
Mailing Address - Fax:310-427-6763
Practice Address - Street 1:8635 W 3RD ST STE 865W
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-6140
Practice Address - Country:US
Practice Address - Phone:310-854-1904
Practice Address - Fax:310-427-6763
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33877208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A338770Medicaid
CAA33877Medicare ID - Type Unspecified
CA00A338770Medicaid