Healthcare Provider Details

I. General information

NPI: 1407807316
Provider Name (Legal Business Name): DAVID L FEINGOLD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23101 SHERMAN PL SUITE 210
WEST HILLS CA
91307-2003
US

IV. Provider business mailing address

23101 SHERMAN PL SUITE 210
WEST HILLS CA
91307-2003
US

V. Phone/Fax

Practice location:
  • Phone: 818-348-4110
  • Fax: 818-348-4208
Mailing address:
  • Phone: 818-348-4110
  • Fax: 818-348-4208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA78522
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: