Provider Demographics
NPI:1679612139
Name:STEINMANN, CHARLES P (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:P
Last Name:STEINMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1966
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92659-0966
Mailing Address - Country:US
Mailing Address - Phone:949-548-4819
Mailing Address - Fax:
Practice Address - Street 1:1901 NEWPORT BLVD # 102
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-2278
Practice Address - Country:US
Practice Address - Phone:949-675-2147
Practice Address - Fax:949-675-2148
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA24786207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA24135Medicare UPIN
CAWA24786CMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER