Individual
IRVING M. FELDKAMP IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2777 LONG BEACH BLVD, LONG BEACH, CA 90806-1571
(562) 595-5653
(562) 595-4247
Mailing address
PO BOX 10818, SAN BERNARDINO, CA 92423
(909) 382-0201
(909) 382-0210
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A94750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A947500
MEDI-CAL
CA
Enumeration date
09/27/2006
Last updated
03/18/2016
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