Individual
ERNEST MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11303 WILSHIRE BLVD BLDG 116, LOS ANGELES, CA 90025-5069
(316) 990-7046
Mailing address
11401 VANDERGRIFT AVE, LOS ANGELES, CA 90025-7127
(316) 990-7046
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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