Healthcare Provider Details

I. General information

NPI: 1033429519
Provider Name (Legal Business Name): ERIC M FEIT DPM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 04/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 WEST 6TH ST. SUITE 240
SAN PEDRO CA
90732
US

IV. Provider business mailing address

3655 LOMITA BLVD. SUITE 120
TORRANCE CA
90505
US

V. Phone/Fax

Practice location:
  • Phone: 310-548-3311
  • Fax: 310-548-3384
Mailing address:
  • Phone: 310-548-3311
  • Fax: 310-548-3384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE3982
License Number StateNY

VIII. Authorized Official

Name: ERIC M FEIT
Title or Position: PRESIDENT, OWNER
Credential: DPM
Phone: 310-548-3311