Doctor Name: | ROBERT EMERSON FEISS |
NPI Number: | 1932116092 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G48219 |
Business Practice Address: | 1695 Mesa Verde Suite 180 Ventura, CA - 93003 |
Business Phone Number: | 8883622968 |
Business Fax Number: | 8056421133 |
Mailing Address: | 1695 Mesa Verde, Ste 180 VENTURA |
State: | CA |
Postal Code: | 93003 |
Phone Number: | 8883622968 |
Fax Number: | 8056421133 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G48219 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |