Provider Demographics
NPI:1427251735
Name:SCHEINBERG, STEPHEN (PHD, MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:SCHEINBERG
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CREST CIR
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-1105
Mailing Address - Country:US
Mailing Address - Phone:949-759-0642
Mailing Address - Fax:
Practice Address - Street 1:23 CREST CIR
Practice Address - Street 2:
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-1105
Practice Address - Country:US
Practice Address - Phone:949-759-0642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG049197174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA92880Medicare UPIN