Provider Demographics
NPI:1962536318
Name:GAIUS C. STEINER, INC. A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:GAIUS C. STEINER, INC. A PSYCHOLOGICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIUS
Authorized Official - Middle Name:C
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:626-336-1292
Mailing Address - Street 1:16977 FLOWER VALE LANE,
Mailing Address - Street 2:STE. 104
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745
Mailing Address - Country:US
Mailing Address - Phone:626-336-1292
Mailing Address - Fax:626-333-1834
Practice Address - Street 1:16977 FLOWER VALE LANE,
Practice Address - Street 2:STE. 104
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745
Practice Address - Country:US
Practice Address - Phone:626-336-1292
Practice Address - Fax:626-333-1834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP 3823Medicare UPIN