Individual
MARCEL HEIFERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 SOUTH ELM DRIVE, UNIT # 314, LOS ANGELES, CA 90035-1134
(310) 277-2375
Mailing address
1115 SOUTH ELM DRIVE, UNIT 314, LOS ANGELES, CA 90035-1134
(310) 277-2375
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
GFE31623
CA
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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