Provider Demographics
NPI:1124365499
Name:FEINBERG, RICHARD INGRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:INGRAM
Last Name:FEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 HILLCREST PL
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-4500
Mailing Address - Country:US
Mailing Address - Phone:626-577-1942
Mailing Address - Fax:626-405-0767
Practice Address - Street 1:945 HILLCREST PL
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-4500
Practice Address - Country:US
Practice Address - Phone:626-577-1942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG9854208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice