Individual
DR. MARIOLA L FICINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1245 WILSHIRE BLVD STE 817, LOS ANGELES, CA 90017-4808
(213) 250-5255
(213) 250-5265
Mailing address
1245 WILSHIRE BLVD STE 817, LOS ANGELES, CA 90017-4808
(213) 250-5255
(213) 250-5265
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A50558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A505580
—
CA
01
—
110133236
RAILROAD MEDICARE
—
Enumeration date
07/22/2005
Last updated
02/27/2023
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