Provider Demographics
NPI:1245685098
Name:FELEK, OZBEN (LAC)
Entity type:Individual
Prefix:
First Name:OZBEN
Middle Name:
Last Name:FELEK
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 BAY VIEW PL
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94708-1802
Mailing Address - Country:US
Mailing Address - Phone:510-717-5149
Mailing Address - Fax:
Practice Address - Street 1:838 POMONA AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1816
Practice Address - Country:US
Practice Address - Phone:510-717-5149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-29
Last Update Date:2016-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16974171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist