MEDICARE: ZHANNA FELDSHER MD INC

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	208D00000X	General Practice Physician	A110463	CA
2	204R00000X	Electrodiagnostic Medicine Physician	A110463	CA

General Provider Information

NPI Number	:	1710228002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZHANNA FELDSHER MD INC

Provider Business Mailing Address
First Line	:	1601 N SEPULVEDA BLVD
Second Line	:	SUITE 652
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-5111
Country	:	US
Telephone Number	:	323-547-6045
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 N SEPULVEDA BLVD
Second Line	:	SUITE 652
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-5111
Country	:	US
Telephone Number	:	323-547-6045
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ZHANNA FELDSHER
Credential	:	M.D.
Telephone Number	:	323-547-6045

Provider Enumeration Date	:	03/12/2013
Last Update Date	:	03/12/2013

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Directions to “ZHANNA FELDSHER MD INC ” Practice Location

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