Individual
MARIANNE HOM-TEDLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089-0177
(323) 276-3705
Mailing address
PO BOX 50938, LOS ANGELES, CA 90074-0938
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
A146335
CA
207VX0201X
Gynecologic Oncology Physician
MD481850
PA
Other
Enumeration date
12/05/2016
Last updated
01/30/2026
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