MEDICARE: DR. ERIC ISRAEL FEIT 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	207R00000X	Internal Medicine Physician	G53686	CA

General Provider Information

NPI Number	:	1588654875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC ISRAEL FEIT M.D.

Provider Business Mailing Address
First Line	:	2701 W ALAMEDA AVE
Second Line	:	STE 403
City	:	BURBANK
State	:	CA
Zip	:	91505-4409
Country	:	US
Telephone Number	:	818-845-9758
Fax Number	:	818-845-7925

Provider Business Practice Location Address
First Line	:	2701 W ALAMEDA AVE
Second Line	:	STE 403
City	:	BURBANK
State	:	CA
Zip	:	91505-4409
Country	:	US
Telephone Number	:	818-845-9758
Fax Number	:	818-845-7925

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	02/25/2021

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