Individual
ADRIAN FAIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 EASTLAKE AVE, NTT 7416, LOS ANGELES, CA 90089-0112
(323) 865-3700
Mailing address
1441 EASTLAKE AVE, NTT 7416, LOS ANGELES, CA 90089-0112
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A117791
CA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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