Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | A82782 | CA |
NPI | 1285657478 |
---|---|
Provider Name | Michael J. Feldman |
First Address | Orange, CA 92867-3905 |
Second Address | Los Angeles, CA 90035-1148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 18/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L95286 | (02) | IL |