Healthcare Provider Details

I. General information

NPI: 1174442750
Provider Name (Legal Business Name): HEAL LA MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 WILSHIRE BLVD STE 125
BEVERLY HILLS CA
90210-6101
US

IV. Provider business mailing address

9301 WILSHIRE BLVD STE 125
BEVERLY HILLS CA
90210-6101
US

V. Phone/Fax

Practice location:
  • Phone: 877-335-3627
  • Fax:
Mailing address:
  • Phone: 877-335-3627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID A FELDMAR
Title or Position: PRESIDENT
Credential: MD
Phone: 877-335-3627