Provider Demographics
NPI:1396990131
Name:BARRY FEINSTEIN DPM
Entity type:Organization
Organization Name:BARRY FEINSTEIN DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:FEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:818-508-7922
Mailing Address - Street 1:12840 RIVERSIDE DR STE 204
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3341
Mailing Address - Country:US
Mailing Address - Phone:818-508-7922
Mailing Address - Fax:818-508-7923
Practice Address - Street 1:12840 RIVERSIDE DR STE 204
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-3341
Practice Address - Country:US
Practice Address - Phone:818-508-7922
Practice Address - Fax:818-508-7923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2349213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty