Doctor Name: | SUSAN DALE STEINRAD |
NPI Number: | 1063541423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 287907 |
Business Practice Address: | 21013 Sherman Way Unit 4 Canoga Park, CA - 913031765 |
Business Phone Number: | 8188871209 |
Business Fax Number: | 8188879495 |
Mailing Address: | 21013 Sherman Way, Unit 4 CANOGA PARK |
State: | CA |
Postal Code: | 913031765 |
Phone Number: | 8188871209 |
Fax Number: | 8188879495 |
NPI Enumeration Date: | 03/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 287907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |