Organization
KEITH S. FEDER MD, INC.
Active
Parent organization
KEITH S. FEDER MD, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEITH S. FEDER MD, INC.
Authorized official
KEITH FEDER MD (PRESIDENT)
(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
05/09/2011
Last updated
10/31/2016
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