Provider Demographics
NPI:1740329440
Name:STEINBERG, BRENDA RUTH (DO)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:RUTH
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14919 THUNDER VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-7217
Mailing Address - Country:US
Mailing Address - Phone:661-747-1334
Mailing Address - Fax:
Practice Address - Street 1:2929 F ST STE D-7
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301
Practice Address - Country:US
Practice Address - Phone:661-871-3300
Practice Address - Fax:661-871-3307
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8049207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX80490Medicaid
CA00AX80490Medicaid
CAZZZ07334ZMedicare PIN
I30912Medicare UPIN