Organization
GEORGE P. FEDOR, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PHILIP FEDOR M.D. (PRESIDENT)
(323) 346-7763
Entity
Organization
Contact information
Practice address
250 S GRAND AVE, GLENDORA, CA 91741-4218
(626) 857-3140
Mailing address
1317 S DIAMOND BAR BLVD, 4007, DIAMOND BAR, CA 91765-5679
(909) 878-6665
(909) 595-3705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A52838
CA
Other
Enumeration date
09/27/2006
Last updated
06/20/2024
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