Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 24126 | CA |
NPI | 1003210006 |
---|---|
Provider Name | Steven Mitchell Feingold |
First Address | Costa Mesa, CA 92626-5981 |
Second Address | Costa Mesa, CA 92626-5981 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2014 |
Last Update Date | 20/10/2014 |