Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A28083 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | A28083 | CA |
NPI | 1235239922 |
---|---|
Provider Name | Dr. Leonard C Feinman |
First Address | Anaheim, CA 92801-4115 |
Second Address | Anaheim, CA 92801-4115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A280830 | (05) | CA |
A83634 | (02) | CA |
AF5770513 | DEA NUMBER (01) |