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
2915 TELEGRAPH AVE STE 101, BERKELEY, CA 94705-2069
(510) 899-7099
(909) 494-7803
Mailing address
PO BOX 10818, SAN BERNARDINO, CA 92423-0818
(909) 382-0201
(909) 495-1321
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2027532
CLIA ID
CA
Enumeration date
07/25/2011
Last updated
08/18/2023
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