MEDICARE: EBEN I FEINSTEIN 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	174400000X	Specialist	G35786	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	:	1578553905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EBEN I FEINSTEIN M.D.

Provider Business Mailing Address
First Line	:	1245 WILSHIRE BLVD
Second Line	:	SUITE 514
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4810
Country	:	US
Telephone Number	:	213-482-5141
Fax Number	:	213-482-8128

Provider Business Practice Location Address
First Line	:	1245 WILSHIRE BLVD
Second Line	:	SUITE 514
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4810
Country	:	US
Telephone Number	:	213-482-5141
Fax Number	:	213-482-8128

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	01/26/2015

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Directions to “ EBEN I FEINSTEIN M.D.” Practice Location

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