Provider Demographics
NPI:1932371317
Name:DONALD P FEIGELSON DPM,INC
Entity Type:Organization
Organization Name:DONALD P FEIGELSON DPM,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:P
Authorized Official - Last Name:FEIGELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-360-0001
Mailing Address - Street 1:8631 W 3RD ST
Mailing Address - Street 2:303E
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5901
Mailing Address - Country:US
Mailing Address - Phone:310-360-0001
Mailing Address - Fax:310-360-0135
Practice Address - Street 1:8631 W 3RD ST
Practice Address - Street 2:303E
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5901
Practice Address - Country:US
Practice Address - Phone:310-360-0001
Practice Address - Fax:310-360-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1863213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWE7081Medicare PIN
CA1035290001Medicare NSC
T11081Medicare UPIN