Organization
ROBERT G FELDMAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GABRIEL FELDMAN MD (PRESIDENT)
(949) 244-9505
Entity
Organization
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, SUITE 333, LAGUNA HILLS, CA 92653-3616
(949) 452-1930
(949) 452-0301
Mailing address
23961 CALLE DE LA MAGDALENA, SUITE 333, LAGUNA HILLS, CA 92653-3616
(949) 452-1930
(949) 452-0301
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G68484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W18214
MEDICARE PTAN
CA
Enumeration date
10/17/2006
Last updated
12/28/2011
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