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Organization
WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE
Active
Organization
WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE
Active
Parent organization
KEITH S. FEDER M.D., INC.
Other names
Keith S. Feder M.D., Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEITH S. FEDER M.D., INC.
Authorized official
KEITH SIMON FEDER M.D. (OWNER)
(310) 416-9700
Entity
Organization
Contact information
Practice address
1200 ROSECRANS AVE, SUITE 208, MANHATTAN BEACH, CA 90266-2462
(310) 416-9700
(310) 416-1120
Mailing address
1200 ROSECRANS AVE, SUITE 208, MANHATTAN BEACH, CA 90266-2462
(310) 416-9700
(310) 416-1120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G63788
CA
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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