Individual
DR. MICHAEL JAMES FEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 ERRINGER RD, SIMI VALLEY, CA 93065-2352
(805) 527-1404
(805) 527-5246
Mailing address
1203 FLYNN RD UNIT 160, CAMARILLO, CA 93012-6203
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
G69172
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
G69172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F16274
UPIN
CA
01
—
G69172
STATE LICENSE
CA
Enumeration date
09/22/2005
Last updated
07/14/2025
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