Federman, Myke

Federman, Myke is an individual health care provider with primary practice located at 10833 Le Conte Ave 12-441 Mdcc, Los Angeles CA 90095-3075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Federman, Myke can be contacted via phone (310) 825-6752.

Contact Information

Primary practice address
10833 Le Conte Ave 12-441 Mdcc Los Angeles CA 90095-3075
Phone: (310) 825-6752
Fax: (310) 794-6623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A82326 California

Profile Details

NPI number 1891830907
LBN Legal business name Federman, Myke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Aug 1st, 2012 - about 13 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 1891830907 NPPES
California MEDICAID 00A823260

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