| Doctor Name: | IRVING M. FELDKAMP |
| NPI Number: | 1568553022 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A94750 |
| Business Practice Address: | 2777 Long Beach Blvd Long Beach, CA - 908061571 |
| Business Phone Number: | 5625955653 |
| Business Fax Number: | 5625954247 |
| Mailing Address: | Po Box 10818, SAN BERNARDINO |
| State: | CA |
| Postal Code: | 92423 |
| Phone Number: | 9093820201 |
| Fax Number: | 9093820210 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A94750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |