Individual
ANTHONY R. FERKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 E 4TH ST, EMERGENCY DEPARTMENT, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Mailing address
4551 GLENCOE AVE, SUITE 260, MARINA DEL REY, CA 90292-6385
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G80871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G808710
—
CA
Enumeration date
06/05/2006
Last updated
03/03/2008
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