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General NPI Number Information
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NPI Number | 1508947243
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Entity Type | Individual
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Provider Name | SCOTT STEWART FERER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 2216 NEWPORT BLVD
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City | COSTA MESA
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State | CA
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Zip | 92627-1711
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Country | US
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Telephone | 949-333-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 26895 ALISO CREEK RD SUITE B485
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City | ALISO VIEJO
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State | CA
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Zip | 92656-5301
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Country | US
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Telephone | 949-333-4300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G75954
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G75954
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License Number State | CA
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