Organization
MICHAEL A. STEIN DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET PAGANO (ACCT REP)
(925) 978-2738
Entity
Organization
Contact information
Practice address
1300 BANCROFT AVE, 103, SAN LEANDRO, CA 94577-5147
(510) 483-3390
(510) 394-6402
Mailing address
1300 BANCROFT AVE, 103, SAN LEANDRO, CA 94577-5147
(510) 483-3390
(510) 394-6402
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E29050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E29051
—
CA
01
—
P00096962
RAILROAD MEDICARE
CA
Enumeration date
12/11/2006
Last updated
10/09/2014
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