Basic Information
Provider Information
NPI: 1841551918
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINER
FirstName: ALEXANDER
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PSY.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11835 W OLYMPIC BLVD STE 1265E
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900645814
CountryCode: US
TelephoneNumber: 3102734843
FaxNumber: 3102735056
Practice Location
Address1: 11835 W OLYMPIC BLVD STE 1265E
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900645814
CountryCode: US
TelephoneNumber: 3102734843
FaxNumber: 3102735056
Other Information
ProviderEnumerationDate: 06/05/2012
LastUpdateDate: 09/10/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103G00000XPSY30878CAY Behavioral Health & Social Service ProvidersClinical Neuropsychologist 

No ID Information.


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