GARY M. FEINBERG ENT INC. NPI 1194145771

NPI Information

  • NPI: 1194145771
  • Provider Name: GARY M. FEINBERG ENT, INC.
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Organization
  • Doing Business As: EVOLUTION ENT
  • Address: 4646 BROCKTON AVE
    SUITE 201
    RIVERSIDE, CA
    ZIP 92506
  • Phone: (951) 788-1447

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NPI Details

GARY M. FEINBERG ENT, INC. is a plastic surgery within the head and neck otolaryngology in Riverside, CA. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. GARY M. FEINBERG ENT, INC. NPI is 1194145771. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Evolution Ent.

The provider's business location address is:

4646 BROCKTON AVE
SUITE 201
RIVERSIDE, CA
ZIP 92506
Phone: (951) 788-1447
Fax: (951) 788-1485

The provider's authorized official is Gary Mitchell Feinberg .
The authorized official title is President and has the following contact phone number (951) 788-1447.

The enumeration date for this NPI number is 4/22/2014 and was last updated on 7/25/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckYes

What is NPI?

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This page was last updated on: 3/30/2025

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