Provider Demographics
NPI:1902067499
Name:FELDMAN, KAREN (DDS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 S. LA CIENEGA BLVD
Mailing Address - Street 2:STE 899, ROOM 4
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4440
Mailing Address - Country:US
Mailing Address - Phone:800-684-6440
Mailing Address - Fax:360-449-5715
Practice Address - Street 1:9800 S. LA CIENEGA BLVD
Practice Address - Street 2:STE 899, ROOM 4
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4440
Practice Address - Country:US
Practice Address - Phone:800-684-6440
Practice Address - Fax:360-449-5715
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6427122300000X
CA34094122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist