Provider Demographics
NPI:1912191487
Name:FELDSHER, JOEL STEPHEN (DO)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:STEPHEN
Last Name:FELDSHER
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 1:6000 N IRWINDALE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:IRWINDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91702-3200
Mailing Address - Country:US
Mailing Address - Phone:626-969-9800
Mailing Address - Fax:626-969-3061
Practice Address - Street 1:6000 N IRWINDALE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:IRWINDALE
Practice Address - State:CA
Practice Address - Zip Code:91702-3200
Practice Address - Country:US
Practice Address - Phone:626-969-9800
Practice Address - Fax:626-969-3061
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5370208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice