Healthcare Provider Details

I. General information

NPI: 1033397690
Provider Name (Legal Business Name): MICHAEL J FELDMAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 04/11/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 WILSHIRE BLVD STE 212
BEVERLY HILLS CA
90211-2920
US

IV. Provider business mailing address

8641 WILSHIRE BLVD STE 212
BEVERLY HILLS CA
90211-2920
US

V. Phone/Fax

Practice location:
  • Phone: 310-286-6700
  • Fax: 310-855-7205
Mailing address:
  • Phone: 310-286-6700
  • Fax: 310-855-7205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberA87282
License Number StateCA

VIII. Authorized Official

Name: DR. MICHAEL J FELDMAN
Title or Position: OWNER
Credential: MD
Phone: 310-286-6700