Provider Demographics
NPI:1598850919
Name:GERSH, FELICE L (MD)
Entity Type:Individual
Prefix:
First Name:FELICE
Middle Name:L
Last Name:GERSH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:16300 SAND CANYON AVE
Mailing Address - Street 2:311
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618
Mailing Address - Country:US
Mailing Address - Phone:949-753-7475
Mailing Address - Fax:949-753-8797
Practice Address - Street 1:16300 SAND CANYON AVE
Practice Address - Street 2:311
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618
Practice Address - Country:US
Practice Address - Phone:949-753-7475
Practice Address - Fax:949-753-8797
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG37358207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA47052Medicare UPIN