Healthcare Provider Details

I. General information

NPI: 1831123421
Provider Name (Legal Business Name): REHEMA FELEKE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 08/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 TORRANCE BLVD
TORRANCE CA
90503-4607
US

IV. Provider business mailing address

2631 GRAND SUMMIT RD
TORRANCE CA
90505-7215
US

V. Phone/Fax

Practice location:
  • Phone: 310-540-7676
  • Fax:
Mailing address:
  • Phone: 424-263-2397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME93052
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License NumberA90972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: