Organization
FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
Active
Other names
FPA Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVING M. FELDKAMP IV IV MD (OWNER)
(909) 382-0201
Entity
Organization
Contact information
Practice address
501 S VINCENT AVE STE 205, WEST COVINA, CA 91790-6712
(626) 572-8800
(909) 495-1305
Mailing address
PO BOX 10818, SAN BERNARDINO, CA 92423-0818
(909) 382-0201
(909) 495-1321
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0668302
CLIA ID
CA
05
—
1427143734
—
CA
Enumeration date
10/03/2006
Last updated
08/29/2024
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