Feldman, Gary Ellis
Feldman, Gary Ellis is an sole proprietor health care provider with primary practice located at 3709 Ocean Blvd , Corona Del Mar CA 92625-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Feldman, Gary Ellis can be contacted via phone (949) 759-5087.Contact Information
Primary practice address
3709 Ocean Blvd
Corona Del Mar CA 92625-3011
Phone: (949) 759-5087
Fax: (949) 759-0409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G26533 | California |
Profile Details
| NPI number | 1043495153 |
|---|---|
| LBN Legal business name | Feldman, Gary Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2008 |
| Last updated | Jan 8th, 2008 - about 16 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 | 1043495153 | NPPES |
| California | Other | G26533 | STATE LICENSE |
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