Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A24225 | CA |
NPI | 1437218575 |
---|---|
Provider Name | Barry Jay Feinberg |
First Address | Los Angeles, CA 90025-1206 |
Second Address | Los Angeles, CA 90025-1206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 29/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A82975 | (02) | CA |