Feder, Keith Simon

Feder, Keith Simon is an sole proprietor health care provider with primary practice located at 1200 Rosecrans Ave Suite 208, Manhattan Beach CA 90266-2462. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Feder, Keith Simon can be contacted via phone (310) 416-9700.

Contact Information

Primary practice address
1200 Rosecrans Ave Suite 208 Manhattan Beach CA 90266-2462
Phone: (310) 416-9700
Fax: (310) 416-1120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G63788 California

Profile Details

NPI number 1821134123
LBN Legal business name Feder, Keith Simon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Oct 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821134123 NPPES
California Other 95-4378266 TAX ID. NUMBER

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