Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | G48218 | CA |
NPI | 1013900182 |
---|---|
Provider Name | Dr. Robert Evan Feinfield |
First Address | Burbank, CA 91505-4806 |
Second Address | Burbank, CA 91505-4806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G482180 | (05) | CA |
A92796 | (02) | CA |