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Individual

SANFORD G FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3737 MORAGA AVE, SUITE A105, SAN DIEGO, CA 92117-5404
(858) 273-0200
(858) 273-0619
Mailing address
3737 MORAGA AVE, SUITE A105, SAN DIEGO, CA 92117-5404
(858) 273-0200
(858) 273-0619

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G45627
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G456270
BLUE CROSS BLUE SHIELD
05
00G456270
CA
Enumeration date
01/10/2007
Last updated
03/11/2008
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