Provider Demographics
NPI:1689756967
Name:FELTEN, CHRISTOPHER LOREN (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LOREN
Last Name:FELTEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:756 LAKEFIELD RD STE C
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2673
Mailing Address - Country:US
Mailing Address - Phone:805-496-3838
Mailing Address - Fax:805-496-7418
Practice Address - Street 1:756 LAKEFIELD RD STE C
Practice Address - Street 2:SUITE 7
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2673
Practice Address - Country:US
Practice Address - Phone:805-496-3838
Practice Address - Fax:805-496-7418
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2015-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6846207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU1234Medicare UPIN