Healthcare Provider Details

I. General information

NPI: 1669773859
Provider Name (Legal Business Name): FELDMAR MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 WILSHIRE BLVD STE 100
BEVERLY HILLS CA
90210-6100
US

IV. Provider business mailing address

9301 WILSHIRE BLVD STE 100
BEVERLY HILLS CA
90210-6100
US

V. Phone/Fax

Practice location:
  • Phone: 310-820-2111
  • Fax: 310-820-1368
Mailing address:
  • Phone: 310-820-2111
  • Fax: 310-820-1368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA87326
License Number StateCA

VIII. Authorized Official

Name: DR. DAVID A FELDMAR
Title or Position: CEO
Credential:
Phone: 310-820-2111