Provider Demographics
NPI:1447452099
Name:STEINBERG, ELLEN ADINE (RN, LCCE, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:ADINE
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:RN, LCCE, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4431 CALLADA PL
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-5105
Mailing Address - Country:US
Mailing Address - Phone:818-345-4439
Mailing Address - Fax:818-345-0286
Practice Address - Street 1:4431 CALLADA PL
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-5105
Practice Address - Country:US
Practice Address - Phone:818-345-4439
Practice Address - Fax:818-345-0286
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA316440163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant