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Marian A. Fedak, MD
Specialist in Los Angeles, California
NPI 1245313683

Marian A. Fedak is a Specialist based in San Pedro, CA. Marian A. Fedak practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Marian A. Fedak is 1245313683 and holds a License No. G186240 (California).

The current practice location address for Marian A. Fedak is 1700 E Cesar E Chavez Ave, Los Angeles, CA and can be reached out via phone at 323-264-4114.

Location: 1700 E Cesar E Chavez Ave, Los Angeles, CA, 90734-6865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245313683
Provider Name
Marian A. Fedak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1700 E Cesar E Chavez Ave, Los Angeles, CA, 90734-6865
Phone Number
323-264-4114
Fax Number
Provider Enumeration Date
10/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G186240 05 CA
institution
Provider Business Practice Location Address Details
Address
1700 E Cesar E Chavez Ave
City
Los Angeles
State
California
Zip
90033-2424
Phone Number
323-264-4114
Fax Number
person
Provider Business Mailing Address Details
Address
1700 E Cesar E Chavez Ave
City
Los Angeles
State
California
Zip
90033-2424
Phone Number
323-264-4114
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G186240 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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