Provider Demographics
NPI:1174727499
Name:STEIN, LEONARD DAVID (DC)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:DAVID
Last Name:STEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-2632
Mailing Address - Country:US
Mailing Address - Phone:415-819-7107
Mailing Address - Fax:415-455-8209
Practice Address - Street 1:3727 BUCHANAN ST
Practice Address - Street 2:SUITE 310
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-5410
Practice Address - Country:US
Practice Address - Phone:415-563-1655
Practice Address - Fax:415-563-1697
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA016538111N00000X
CA06538111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor