Organization Name: | ZHANNA FELDSHER MD INC |
NPI Number: | 1710228002 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZHANNA FELDSHER (OWNER) |
Mailing Address: | 1601 N Sepulveda Blvd Suite 652 Manhattan Beach |
State: | CA US |
Postal Code: | 902665111 |
Phone Number: | 3235476045 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A110463 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |