Individual
DAVID EDWARD FERMELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
8631 W 3RD ST STE 710E, LOS ANGELES, CA 90048-5911
(310) 278-0567
(310) 854-5672
Mailing address
8631 W 3RD ST STE 710E, LOS ANGELES, CA 90048-5911
(310) 278-0567
(310) 854-5672
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G57874
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G578740
—
CA
Enumeration date
10/18/2006
Last updated
07/08/2007
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