Organization · Type 2 NPI

Marian A. Fedak M.d. Medical Corporation

Specialist · Los Angeles, CA

NPI number 1619077138 Active

Practice location

1700 E Cesar E Chavez Ave, Suite 3300
Los Angeles, CA 90033-2424

Mailing address

PO Box 6865
San Pedro, CA 90734-6865

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG186240 (CA)

Specialist: 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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About NPI 1619077138

Marian A. Fedak M.d. Medical Corporation's National Provider Identifier is 1619077138, issued on Sep 24, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 24, 2010.