Provider Demographics
NPI:1043701683
Name:FELIX SIGAL DPM A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:FELIX SIGAL DPM A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-365-0793
Mailing Address - Street 1:201 S ALVARADO ST STE 819
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-2391
Mailing Address - Country:US
Mailing Address - Phone:213-365-0793
Mailing Address - Fax:213-365-0794
Practice Address - Street 1:1672 W AVENUE J STE 201
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2861
Practice Address - Country:US
Practice Address - Phone:661-945-3628
Practice Address - Fax:661-945-4497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty