Organization
MARINELLI & FELDMAN, M.D.'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILENE MEYER (OFFICE MANAGER)
(714) 879-2410
Entity
Organization
Contact information
Practice address
400 W CENTRAL AVE, #207, BREA, CA 92821-3013
(714) 879-2410
(714) 879-5340
Mailing address
400 W CENTRAL AVE, #207, BREA, CA 92821-3013
(714) 879-2410
(714) 879-5340
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E91849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0011581
MEDI CAL
CA
01
—
W450
MEDICARE GROUP
CA
01
—
W450A
MEDICARE GROUP
CA
01
—
W450B
MEDICARE GROUP
CA
01
—
YYY49655Y
BLUE SHIELD GROUP
CA
Enumeration date
09/24/2007
Last updated
09/24/2007
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