Individual
DR. MARCEL P FRAIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
795 E SECOND STREET, SUITE 5, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2955
Mailing address
795 E SECOND STREET, SUITE 5, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A9008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP751Y
NO CA MEDICARE PTAN
CA
01
—
CP751Z
PTAN
CA
Enumeration date
11/08/2005
Last updated
01/08/2019
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