Provider Demographics
NPI:1912179060
Name:ROBERT F STEINBERG, M.D. A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:ROBERT F STEINBERG, M.D. A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-340-2260
Mailing Address - Street 1:41865 BOARDWALK STE 103
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-9031
Mailing Address - Country:US
Mailing Address - Phone:760-340-2260
Mailing Address - Fax:760-341-5051
Practice Address - Street 1:41865 BOARDWALK STE 103
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-9031
Practice Address - Country:US
Practice Address - Phone:760-340-2260
Practice Address - Fax:760-341-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA033981207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA27323Medicare UPIN