Provider Demographics
NPI:1396962924
Name:STEINBERG, ELIZABETH HELEN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HELEN
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ODYSSEY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3197
Mailing Address - Country:US
Mailing Address - Phone:949-251-1400
Mailing Address - Fax:949-251-8881
Practice Address - Street 1:22 ODYSSEY
Practice Address - Street 2:SUITE 200
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3197
Practice Address - Country:US
Practice Address - Phone:949-251-1400
Practice Address - Fax:949-251-8881
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51467174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG51467OtherSTATE LICENSE NUMBER
G51467Medicare ID - Type Unspecified
CAG51467OtherSTATE LICENSE NUMBER