MEDICARE: DR. DAVID A FERRY M.D.

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	2080P0202X	Pediatric Cardiology Physician	G45628	CA

General Provider Information

NPI Number	:	1174502793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A FERRY M.D.

Provider Business Mailing Address
First Line	:	5400 BALBOA BLVD STE 202
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-1529
Country	:	US
Telephone Number	:	818-784-6269
Fax Number	:	818-784-1531

Provider Business Practice Location Address
First Line	:	5400 BALBOA BLVD
Second Line	:	STE 202
City	:	ENCINO
State	:	CA
Zip	:	91316
Country	:	US
Telephone Number	:	818-784-6269
Fax Number	:	818-784-1531

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	03/17/2026

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