Organization
JUDITH SABOLCH FELDMAN,M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH SABOLCH FELDMAN M.D. (PRESIDENT)
(805) 497-1152
Entity
Organization
Contact information
Practice address
1240 S WESTLAKE BLVD, SUITE 217, WESTLAKE VILLAGE, CA 91361-1929
(805) 497-1152
(805) 497-1557
Mailing address
1240 S WESTLAKE BLVD, SUITE 217, WESTLAKE VILLAGE, CA 91361-1929
(805) 497-1152
(805) 497-1557
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G39316A
MEDICARE PTAN/INDIVIDUAL
CA
01
—
W21302
MEDICARE PTAN/CORPORATION
CA
Enumeration date
12/04/2007
Last updated
04/29/2008
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