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Dr. Keith Simon Feder, MD
Specialist in Manhattan Beach, California
NPI 1821134123

Keith Simon Feder is a Specialist based in Manhattan Beach, CA. Keith Simon Feder practices in Manhattan Beach, CA and has the professional credentials of MD. The NPI Number for Keith Simon Feder is 1821134123 and holds a License No. G63788 (California).

The current practice location address for Keith Simon Feder is 1200 Rosecrans Ave, Manhattan Beach, CA and can be reached out via phone at 310-416-9700 and via fax at 310-416-1120.

Location: 1200 Rosecrans Ave, Manhattan Beach, CA, 90266-2462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821134123
Provider Name
Keith Simon Feder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 Rosecrans Ave, Manhattan Beach, CA, 90266-2462
Phone Number
310-416-9700
Fax Number
310-416-1120
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
95-4378266 01 CA TAX ID. NUMBER
institution
Provider Business Practice Location Address Details
Address
1200 Rosecrans Ave
City
Manhattan Beach
State
California
Zip
90266-2462
Phone Number
310-416-9700
Fax Number
310-416-1120
person
Provider Business Mailing Address Details
Address
1200 Rosecrans Ave
City
Manhattan Beach
State
California
Zip
90266-2462
Phone Number
310-416-9700
Fax Number
310-416-1120
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G63788 (California)
Definition
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.
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