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Organization
MARIAN A. FEDAK M.D. MEDICAL CORPORATION
Active
Organization
MARIAN A. FEDAK M.D. MEDICAL CORPORATION
Active
Other names
VMV Medical Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN A. FEDAK M.D. (PRESIDENT/PHYSICIAN)
(323) 264-4114
Entity
Organization
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE, SUITE 3300, LOS ANGELES, CA 90033-2424
(323) 264-4114
Mailing address
PO BOX 6865, SAN PEDRO, CA 90734-6865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G186240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G186240
—
CA
05
—
GR0077680
—
CA
Enumeration date
09/24/2006
Last updated
02/24/2010
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