Organization Active NPI

Andrea Lynn Stein MD a Medical Corporation

  • Specialist
  • Santa Monica, CA
National Provider Identifier
1235505637
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G478010 Issued in IL
Legal business name
ANDREA LYNN STEIN MD A MEDICAL CORPORATION
Practice address
2021 Santa Monica Blvd Ste 730E
Santa Monica, CA 90404-2173
Phone
(310) 453-4600
Fax
(310) 453-1426
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrea Lynn Stein, M.D.NPI 1053483065
Title
Medical Doctor
Phone
(310) 453-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G478010 IL Primary

Addresses

Primary practice location

2021 Santa Monica Blvd Ste 730E
Santa Monica, CA 90404-2173

Mailing address

2021 Santa Monica Blvd Ste 730E
Santa Monica, CA 90404-2173
Phone (310) 453-4600

National Provider Directory

National Provider Directory

Locations

2021 Santa Monica Blvd
Ste 730E
Santa Monica, CA 90404
Phone (310) 453-1266

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1235505637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 730E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042173",
            "telephone_number": "310-453-4600",
            "fax_number": "310-453-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 730E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042173",
            "telephone_number": "310-453-4600",
            "fax_number": "310-453-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA LYNN STEIN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "310-453-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "G478010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.