Basic Information
Provider Information
NPI: 1285393900
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINHART
FirstName: SYLVIA
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14513 S APRILIA AVE
Address2:  
City: COMPTON
State: CA
PostalCode: 902201206
CountryCode: US
TelephoneNumber: 3234011817
FaxNumber:  
Practice Location
Address1: 20342 FLANAGAN ROAD
Address2:  
City: TRABUCO CANYON
State: CA
PostalCode: 92679
CountryCode: US
TelephoneNumber: 8185828832
FaxNumber: 8185828836
Other Information
ProviderEnumerationDate: 12/09/2021
LastUpdateDate: 12/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
374700000X6001326733CAY Nursing Service Related ProvidersTechnician 

No ID Information.


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