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General NPI Number Information
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NPI Number | 1710878491
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Entity Type | Organization
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Legal Business Name | CLIFFORD FELDMAN GROUP PRACTICE
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 4018 ROCK HAMPTON DR
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City | TARZANA
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State | CA
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Zip | 91356-5719
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Country | US
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Telephone | 818-324-6979
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Fax | 805-584-9651
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Provider Business Mailing Address
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Address Line | PO BOX 572109
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City | TARZANA
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State | CA
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Zip | 91357-2109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KRISTA DENNIS
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Credential |
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Telephone | 805-579-3537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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