Federman, Myke
Federman, Myke is an individual health care provider with primary practice located at 10833 Le Conte Ave 12-441 Mdcc, Los Angeles CA 90095-3075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Federman, Myke can be contacted via phone (310) 825-6752.Contact Information
Primary practice address
10833 Le Conte Ave 12-441 Mdcc
Los Angeles CA 90095-3075
Phone: (310) 825-6752
Fax: (310) 794-6623
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | A82326 | California |
Profile Details
NPI number | 1891830907 |
---|---|
LBN Legal business name | Federman, Myke |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 20th, 2007 |
Last updated | Aug 1st, 2012 - about 12 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 | 1891830907 | NPPES |
California | MEDICAID | 00A823260 |
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