Individual
DR. GARY ELLIS FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3709 OCEAN BLVD, CORONA DEL MAR, CA 92625-3011
(949) 759-5087
(949) 759-0409
Mailing address
3709 OCEAN BLVD, CORONA DEL MAR, CA 92625-3011
(949) 759-5087
(949) 759-0409
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G26533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G26533
STATE LICENSE
CA
Enumeration date
01/08/2008
Last updated
01/08/2008
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