Provider Demographics
NPI:1962503805
Name:WEINSTEIN, STEVEN EARL (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EARL
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7369 ARROYO GRANDE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2261
Mailing Address - Country:US
Mailing Address - Phone:858-945-1282
Mailing Address - Fax:
Practice Address - Street 1:29 PALMS NAVAL HOSPITAL
Practice Address - Street 2:MAGTFTC MCAGCC
Practice Address - City:TWENTY NINE PALMS
Practice Address - State:CA
Practice Address - Zip Code:92278-8250
Practice Address - Country:US
Practice Address - Phone:760-830-2194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7567207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine