Individual
NOAH FEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, DEPARTMENT OF PEDIATRIC HEMATOLOGY/ONCOLOGY UCLA, LOS ANGELES, CA 90095-3075
(310) 825-6708
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-0867
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A87474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A874740
—
CA
Enumeration date
07/11/2007
Last updated
07/12/2013
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