Individual
MR. EDMOND DAVID FEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., Q.M.E.
Contact information
Practice address
6221 WILSHIRE BLVD, SUITE 604, LOS ANGELES, CA 90048-5201
(323) 933-2444
Mailing address
6221 WILSHIRE BLVD, SUITE 604, LOS ANGELES, CA 90048-5201
(323) 933-2444
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043615829
PROVIDER ID
CA
Enumeration date
03/12/2007
Last updated
03/30/2012
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