Provider Demographics
NPI:1710974522
Name:SIGAL, FELIX (DPM)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:
Last Name:SIGAL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 WILSHIRE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-4122
Mailing Address - Country:US
Mailing Address - Phone:213-365-0793
Mailing Address - Fax:213-365-0794
Practice Address - Street 1:3333 WILSHIRE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-4122
Practice Address - Country:US
Practice Address - Phone:213-365-0793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4011213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E40111Medicaid
CAE4011AMedicare ID - Type Unspecified
CAU65208Medicare UPIN
CA6619780001Medicare NSC
CAFO047AMedicare PIN