Individual
DR. GRAHAM FEDORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3160 GENEVA ST, LOS ANGELES, CA 90020-1117
(213) 388-3151
Mailing address
3160 GENEVA ST, LOS ANGELES, CA 90020-1117
(213) 388-3151
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
A127300
CA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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