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NPI Code Detail

MEDICARE: ALLEN FEEMAN

MEDICARE: ALLEN FEEMAN
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1619251782
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN FEEMAN
Provider Business Mailing Address
First Line : 2017 E 4TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90814-1001
Country : US
Telephone Number : 562-434-4455
Fax Number : 562-433-6428
Provider Business Practice Location Address
First Line : 2017 E 4TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90814-1001
Country : US
Telephone Number : 562-434-4455
Fax Number : 562-433-6428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 01/25/2026

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Directions to “ ALLEN FEEMAN ” Practice Location

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