Healthcare Provider Details

I. General information

NPI: 1790240653
Provider Name (Legal Business Name): ERIC M FEIT DPM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3655 LOMITA BLVD STE 120
TORRANCE CA
90505-1907
US

IV. Provider business mailing address

3655 LOMITA BLVD STE 120
TORRANCE CA
90505-1907
US

V. Phone/Fax

Practice location:
  • Phone: 310-791-1092
  • Fax: 310-791-1087
Mailing address:
  • Phone: 310-791-1092
  • Fax: 310-791-1087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ERIC M FEIT
Title or Position: CEO
Credential: DPM
Phone: 310-791-1092