MEDICARE: ROCHELLE C FELDMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	G32408	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053368167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE C FELDMAN M.D.

Provider Business Mailing Address
First Line	:	1613 S BEVERLY DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-3005
Country	:	US
Telephone Number	:	310-842-4806
Fax Number	:

Provider Business Practice Location Address
First Line	:	18520 VIA PRINCESSA
Second Line	:	C-2
City	:	CANYON COUNTRY
State	:	CA
Zip	:	91387-8326
Country	:	US
Telephone Number	:	661-424-0900
Fax Number	:	661-424-0924

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	03/04/2011

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Directions to “ ROCHELLE C FELDMAN M.D.” Practice Location

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