MEDICARE: DR. LAWRENCE ALLEN FEIWELL 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	207X00000X	Orthopaedic Surgery Physician	G59223	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G59223	OTHER	CA	MEDICAL LICENSE
2	G59223	OTHER	CA	CA MEDICAL LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932201787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE ALLEN FEIWELL M.D.

Provider Business Mailing Address
First Line	:	3742 KATELLA AVE
Second Line	:	SUITE 401
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3102
Country	:	US
Telephone Number	:	562-431-4800
Fax Number	:	562-431-4813

Provider Business Practice Location Address
First Line	:	3742 KATELLA AVE
Second Line	:	SUITE 401
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3102
Country	:	US
Telephone Number	:	562-431-4800
Fax Number	:	562-431-4813

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

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	11/16/2020

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