Individual
KELLY FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 S MAIN ST STE 525, ORANGE, CA 92868-4553
(714) 456-5631
Mailing address
505 S MAIN ST STE 525, ORANGE, CA 92868-4553
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
164645
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2018
Last updated
09/01/2019
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