Provider Demographics
NPI:1740207737
Name:FEIBLEMAN, CARY EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:CARY
Middle Name:EDWARD
Last Name:FEIBLEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E 28TH STREET
Mailing Address - Street 2:SUITE 311
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2780
Mailing Address - Country:US
Mailing Address - Phone:562-595-4777
Mailing Address - Fax:562-424-9644
Practice Address - Street 1:701 E 28TH STREET
Practice Address - Street 2:SUITE 311
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2780
Practice Address - Country:US
Practice Address - Phone:562-595-4777
Practice Address - Fax:562-424-9644
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG40658207ND0900X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G406580OtherMEDI CAL
CAG40658AMedicare PIN
A48307Medicare UPIN
CAG40658Medicare PIN