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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
105D0668370OTHERCACLIA ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841339678
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 : 601 S WESTMORELAND AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-3902
Country : US
Telephone Number : 213-738-7083
Fax Number : 909-494-7684
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 : 08/18/2023

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