Provider Demographics
NPI:1588654875
Name:FEIT, ERIC ISRAEL (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ISRAEL
Last Name:FEIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 W ALAMEDA AVE
Mailing Address - Street 2:STE 403
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4409
Mailing Address - Country:US
Mailing Address - Phone:818-845-9758
Mailing Address - Fax:818-845-7925
Practice Address - Street 1:2701 W ALAMEDA AVE
Practice Address - Street 2:STE 403
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4409
Practice Address - Country:US
Practice Address - Phone:818-845-9758
Practice Address - Fax:818-845-7925
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53686207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG53686Medicare ID - Type UnspecifiedMEDICARE ID NUMBER