Organization
DAVID E FELDMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FELDMAN M.D. (PRESIDENT)
(310) 832-3311
Entity
Organization
Contact information
Practice address
1300 W 7TH ST, SAN PEDRO, CA 90732-3505
(310) 832-3311
(310) 514-5204
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103940
—
CA
01
—
ZZZ50198Z
BLUE SHIELD
—
Enumeration date
12/05/2006
Last updated
04/14/2015
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