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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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