Provider Demographics
NPI:1508836164
Name:FEINMAN, MICHAEL ALAN (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ALAN
Last Name:FEINMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:333 S ARROYO PKWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2515
Mailing Address - Country:US
Mailing Address - Phone:626-440-9161
Mailing Address - Fax:626-585-1603
Practice Address - Street 1:1220 LA VENTA RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-3748
Practice Address - Country:US
Practice Address - Phone:805-374-1737
Practice Address - Fax:805-374-1736
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG53843207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG53843OtherMEDICAL LICENSE