Provider Demographics
NPI:1053467738
Name:FEIFEL, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:FEIFEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3252 HOLIDAY CT STE 112
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1808
Mailing Address - Country:US
Mailing Address - Phone:858-412-4130
Mailing Address - Fax:858-412-5088
Practice Address - Street 1:3252 HOLIDAY CT STE 112
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1808
Practice Address - Country:US
Practice Address - Phone:858-412-4130
Practice Address - Fax:858-412-5088
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2021-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA512362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G04286Medicare UPIN