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NPI Code Detail

MEDICARE: FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC

MEDICARE: FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LAB68302GOTHERCAMEDI-CAL
205D0668302OTHERCACLIA ID

General Provider Information

NPI Number : 1063551893
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
Provider Business Mailing Address
First Line : PO BOX 10818
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92423-0818
Country : US
Telephone Number : 909-382-0201
Fax Number : 909-495-1321
Provider Business Practice Location Address
First Line : 501 S VINCENT AVE STE 205
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-6712
Country : US
Telephone Number : 626-572-8800
Fax Number : 909-784-3688
Authorized Official
Title or Position : OWNER
Name : DR. IRVING M. FELDKAMP IV IV
Credential : MD
Telephone Number : 909-382-0201
Provider Enumeration Date : 02/06/2007
Last Update Date : 05/18/2021

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Directions to “FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC ” Practice Location

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