| Doctor Name: | DR. JACK SOLOMAN FELDSHER |
| NPI Number: | 1215121785 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G058688 |
| Business Practice Address: | 6000 N Irwindale Ave Suite A Irwindale, CA - 917023200 |
| Business Phone Number: | 6269699800 |
| Business Fax Number: | 6269693061 |
| Mailing Address: | 6000 N Irwindale Ave, Suite A IRWINDALE |
| State: | CA |
| Postal Code: | 917023200 |
| Phone Number: | 6269699800 |
| Fax Number: | 6269693061 |
| NPI Enumeration Date: | 08/28/2007 |
| NPI Last Update Date: | 08/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G058688 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |