Provider Demographics
NPI:1689971988
Name:FELDMAN, DANIEL
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 FAIR OAKS BLVD
Mailing Address - Street 2:#201
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-7053
Mailing Address - Country:US
Mailing Address - Phone:916-966-0000
Mailing Address - Fax:916-966-0088
Practice Address - Street 1:9701 FAIR OAKS BLVD
Practice Address - Street 2:#201
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-7053
Practice Address - Country:US
Practice Address - Phone:916-966-0000
Practice Address - Fax:916-966-0088
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic