Provider Demographics
NPI:1932125267
Name:STEINBERG, MITCHEL J (DC)
Entity Type:Individual
Prefix:
First Name:MITCHEL
Middle Name:J
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22020 CLARENDON ST # 101
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6618
Mailing Address - Country:US
Mailing Address - Phone:818-346-9233
Mailing Address - Fax:818-346-9485
Practice Address - Street 1:22020 CLARENDON ST # 101
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6618
Practice Address - Country:US
Practice Address - Phone:818-346-9233
Practice Address - Fax:818-346-9485
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17982111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC17982Medicare PIN