MEDICARE: FELIX SIGAL DPM A PROFESSIONAL CORPORATION

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1114504388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FELIX SIGAL DPM A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1711 W TEMPLE ST STE 3036
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7335
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1711 W TEMPLE ST STE 3036
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7335
Country	:	US
Telephone Number	:	213-365-0793
Fax Number	:

Authorized Official
Title or Position	:	DPM
Name	:	FELIX SIGAL
Credential	:
Telephone Number	:	213-365-0793

Provider Enumeration Date	:	03/25/2021
Last Update Date	:	04/02/2021

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