Feder, Keith Simon
Feder, Keith Simon is an sole proprietor health care provider with primary practice located at 1200 Rosecrans Ave Suite 208, Manhattan Beach CA 90266-2462. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Feder, Keith Simon can be contacted via phone (310) 416-9700.Contact Information
Primary practice address
1200 Rosecrans Ave Suite 208
Manhattan Beach CA 90266-2462
Phone: (310) 416-9700
Fax: (310) 416-1120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G63788 | California |
Profile Details
| NPI number | 1821134123 |
|---|---|
| LBN Legal business name | Feder, Keith Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Oct 20th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821134123 | NPPES |
| California | Other | 95-4378266 | TAX ID. NUMBER |
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