Healthcare Provider Details
I. General information
NPI: 1003633140
Provider Name (Legal Business Name): HOWARD FEIN PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2024
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
449 SILVER SPUR RD
ROLLING HILLS ESTATES CA
90274-3574
US
IV. Provider business mailing address
449 SILVER SPUR RD
ROLLING HILLS ESTATES CA
90274-3574
US
V. Phone/Fax
- Phone: 310-541-4040
- Fax: 310-541-4100
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HOWARD
FEIN
Title or Position: OWNER
Credential: MD
Phone: 301-351-4412