Provider Demographics
NPI:1104157601
Name:FELDSHER, ZHANNA (MD)
Entity type:Individual
Prefix:DR
First Name:ZHANNA
Middle Name:
Last Name:FELDSHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 848
Mailing Address - Street 2:1601 N SEPULVEDA BLVD
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90267-0848
Mailing Address - Country:US
Mailing Address - Phone:310-822-3524
Mailing Address - Fax:310-822-3524
Practice Address - Street 1:2928 E CESAR E CHAVEZ AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-3110
Practice Address - Country:US
Practice Address - Phone:323-266-6700
Practice Address - Fax:323-266-7161
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-22
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110463208D00000X, 208000000X, 204R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics