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WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE NPI 1851565055


NPI Information

NPI: 1851565055
Provider Name: WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE

Doing Business As: KEITH S. FEDER M.D., INC.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1200 ROSECRANS AVE
SUITE 208
MANHATTAN BEACH, CA
ZIP 90266
Phone: (310) 416-9700
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WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE is a specialist in Manhattan Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE NPI is 1851565055. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Keith S. Feder M.d., Inc..

The provider's business location address is:

1200 ROSECRANS AVE
SUITE 208
MANHATTAN BEACH, CA
ZIP 90266-462
Phone: (310) 416-9700
Fax: (310) 416-1120

The provider's authorized official is Keith Simon Feder .
The authorized official title is Owner and has the following contact phone number (310) 416-9700.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 4/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG63788CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G63788MEDICARE PINCALIFORNIA
2E92343MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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