# GARY M. FEINBERG ENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evolution ENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194145771
- **Authorized official:** GARY MITCHELL FEINBERG MD (PRESIDENT)
- **Authorized official phone:** (951) 788-1447

## Contact information

- **Practice address:** 4646 BROCKTON AVE, SUITE 201, RIVERSIDE, CA 92506
- **Practice address phone:** (951) 788-1447
- **Practice address fax:** (951) 788-1485
- **Mailing address:** PO BOX 7270, MORENO VALLEY, CA 92552-7270
- **Mailing address phone:** (951) 656-1500
- **Mailing address fax:** (951) 656-1510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2014
- **Last updated:** 07/25/2018