Provider Demographics
NPI:1720373871
Name:FEIN, ERIC HERSCHEL (MD, MPP, MS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HERSCHEL
Last Name:FEIN
Suffix:
Gender:M
Credentials:MD, MPP, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WEST CARSON STREET
Mailing Address - Street 2:SIXTH FLOOR DEPARTMENT OF PEDIATRICS
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502
Mailing Address - Country:US
Mailing Address - Phone:310-222-2300
Mailing Address - Fax:
Practice Address - Street 1:1000 WEST CARSON STREET
Practice Address - Street 2:SIXTH FLOOR DEPARTMENT OF PEDIATRICS
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502
Practice Address - Country:US
Practice Address - Phone:310-222-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123457208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics