Individual
FORNATI BEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44151 15TH ST W STE 101, LANCASTER, CA 93534-4079
(661) 902-5600
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A161638
CA
Other
Enumeration date
03/20/2014
Last updated
08/12/2022
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