Provider Demographics
NPI:1215184551
Name:FEINTECH, LISA ANN MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANN MARIE
Last Name:FEINTECH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1871 KIMBERLY LN
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-2221
Mailing Address - Country:US
Mailing Address - Phone:310-720-7777
Mailing Address - Fax:310-471-5257
Practice Address - Street 1:UCLA MEDICAL CTR
Practice Address - Street 2:757 WESTWOOD PLAZA
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-720-7777
Practice Address - Fax:310-471-5257
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG62807174400000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist