MARIAN A. FEDAK


Address: 1700 E Cesar E Chavez Ave, Suite 3300, Los Angeles, CA 90033-2424
Phone: 3232644114

MARIAN A. FEDAK (NPI# 1245313683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245313683
Entity Type Individual
Full Name MARIAN A. FEDAK
Credential M.D.
Practice Address 1700 E Cesar E Chavez Ave
Suite 3300
Los Angeles
CA 90033-2424
Mailing Address Po Box 6865
San Pedro
CA 90734-6865
Practice Telephone 3232644114
Enumeration Date 2006-10-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist G186240 CA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G186240 05

Office Location

Street Address 1700 E CESAR E CHAVEZ AVE
SUITE 3300
City LOS ANGELES
State CA
Zip Code 90033-2424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306836994 Melodia V. Alcantara Nurse Practitioner 1700 E Cesar E Chavez Ave, Suite 1200, Los Angeles, CA 90033-2424 2005-10-25
1821534587 Elba Espinoza Nurse Practitioner 1700 E Cesar E Chavez Ave, 3900, Los Angeles, CA 90033-2424 2017-01-18
1467833905 Ifrah Sheesfarooqui Optometrist 1700 E Cesar E Chavez Ave, St L300, Los Angeles, CA 90033-2424 2015-06-10
1306226261 Adventist Health Physicians Network Orthopaedic Surgery 1700 E Cesar E Chavez Ave, #1400, Los Angeles, CA 90033-2424 2015-06-05
1063892867 Adventist Health Physicians Network Internal Medicine 1700 E Cesar E Chavez Ave, #3300, Los Angeles, CA 90033-2424 2015-06-05
1942602883 Adventist Health Physicians Network Internal Medicine 1700 E Cesar E Chavez Ave, 2700, Los Angeles, CA 90033-2424 2014-09-23
1669880787 Adventist Health Physicians Network Pediatrics 1700 E Cesar E Chavez Ave, #3000, Los Angeles, CA 90033-2424 2014-08-01
1689082232 Martha E Rivera M D Inc Pediatrics 1700 E Cesar E Chavez Ave, Suite # 3450, Los Angeles, CA 90033-2424 2014-07-28
1508109877 Ethelred E Carter Medical Corp Internal Medicine 1700 E Cesar E Chavez Ave, Suite #3700, Los Angeles, CA 90033-2424 2013-04-04
1568734655 Bertrand A. Marcano, Md Inc General Acute Care Hospital 1700 E Cesar E Chavez Ave, Suite 3450, Los Angeles, CA 90033-2424 2012-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376165050 Noa Yee Student in an Organized Health Care Education/Training Program 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 2020-05-15
1629690144 Monica Lopez Respiratory Therapist, Registered 1251 Marengo St, Los Angeles, CA 90033 2020-05-07
1649890401 Antonio Hernandez Saenz Student in an Organized Health Care Education/Training Program 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 2020-04-22
1417585100 Kelsey Grace Shea Student in an Organized Health Care Education/Training Program 1200 N State St Ird 112, Los Angeles, CA 90033 2020-03-30
1891322780 Carolyn Kan Student in an Organized Health Care Education/Training Program 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 2020-03-23
1902445786 Maury M Hopkins Registered Nurse 1883 Marengo Street, Los Angeles, CA 90033 2019-12-27
1982259792 Beverly Austin Mccabe Registered Nurse 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 2019-08-08
1093369399 Christine Yoon Pharmacist 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 2019-07-25
1073075339 Johanna Keller Student in an Organized Health Care Education/Training Program La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 2019-04-04
1386115137 Sonya Lorain Earley Physician Assistant 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 2018-12-05
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255801098 Maria Elizabeth Botham Specialist 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 2018-12-04
1154899821 Adam Garcia-morales Specialist 216 S Townsend Ave, Los Angeles, CA 90063-2439 2018-11-11
1174028930 Sabrena Anne Smith Specialist 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 2018-03-26
1538663513 John Horton Specialist 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 2018-03-22
1598272262 Ronna Lynne Pearl Specialist 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 2018-01-04
1245754431 Marla Ellen Mintz Specialist 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 2017-07-28
1730619818 Emily Ng Specialist 8590 W Pico Blvd, Los Angeles, CA 90035-2691 2017-06-12
1871044297 Katherinne Aucaruri Specialist 4225 Blanchard St, Los Angeles, CA 90063-1317 2016-10-20
1720536923 Jkc Neurology Medical Group Inc Specialist 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 2016-09-15
1932552916 Anthony Jose Salvatierra Specialist 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 2016-07-14
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Competitor

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City LOS ANGELES
Zip Code 90033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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