=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033397690
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MICHAEL J FELDMAN MD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2008
-----------------------------------------------------
Last Update Date | 04/11/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8641 WILSHIRE BLVD STE 212
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90211-2920
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-286-6700
-----------------------------------------------------
Fax | 310-855-7205
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8641 WILSHIRE BLVD STE 212
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90211-2920
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-286-6700
-----------------------------------------------------
Fax | 310-855-7205
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. MICHAEL J FELDMAN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 310-286-6700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2086S0105X
-----------------------------------------------------
Taxonomy Name | Surgery of the Hand (Surgery) Physician
-----------------------------------------------------
License Number | A87282
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------