Healthcare Provider Details

I. General information

NPI: 1437019148
Provider Name (Legal Business Name): ARIELA I. FEITELBERG, DMD, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 15TH ST STE 1117
SANTA MONICA CA
90404-1146
US

IV. Provider business mailing address

1260 15TH ST STE 1117
SANTA MONICA CA
90404-1146
US

V. Phone/Fax

Practice location:
  • Phone: 310-393-0465
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. ARIELA FEITELBERG
Title or Position: DR
Credential: DMD
Phone: 310-393-0465