Individual
DR. KENNETH DALE FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 EASTLAKE AVE, SUITE 74601, LOS ANGELES, CA 90089-0112
(323) 865-3700
Mailing address
1441 EASTLAKE AVE, SUITE 74601, LOS ANGELES, CA 90089-0112
(323) 865-3700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A112884
CA
Other
Enumeration date
06/23/2010
Last updated
11/30/2021
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