Basic Information
Provider Information
NPI: 1023239118
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINHAUSER
FirstName: TOVA
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2020 GENESEE AVE
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921234219
CountryCode: US
TelephoneNumber: 8584992600
FaxNumber: 8586168175
Practice Location
Address1: 2020 GENESEE AVE
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921234219
CountryCode: US
TelephoneNumber: 8584992600
FaxNumber: 8586168175
Other Information
ProviderEnumerationDate: 05/02/2007
LastUpdateDate: 06/06/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA103270CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home