Individual
MADELEINE RITA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 517-4675
(310) 784-6377
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 577-2021
(805) 577-2018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G51845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L062093RL
RAILROAD MEDICARE
—
Enumeration date
11/15/2006
Last updated
09/02/2009
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