Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | G86632 | CA |
NPI | 1376566455 |
---|---|
Provider Name | Kevin Paul Feig |
First Address | San Marcos, CA 92069-1288 |
Second Address | San Marcos, CA 92069-1288 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 05/10/2018 |