Provider Demographics
NPI:1134190226
Name:STEELE, ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:STEELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:JAMES
Other - Last Name:MITOBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MBA
Mailing Address - Street 1:27890 CLINTON KEITH RD
Mailing Address - Street 2:SUITE D #404
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8571
Mailing Address - Country:US
Mailing Address - Phone:760-622-6043
Mailing Address - Fax:
Practice Address - Street 1:24745 STEWART ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2751
Practice Address - Country:US
Practice Address - Phone:909-558-7171
Practice Address - Fax:909-558-0121
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-28
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76505207P00000X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH20428Medicare UPIN