Ca Fidelis PC
Ca Fidelis PC is a Physical Medicine & Rehabilitation Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11726 San Vicente Blvd Ste 414Los Angeles, CA 90049-5044
Phone: (877) 408-2488
Fax: (866) 776-6641
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence G75477 (CA) |
|---|
Record details
| NPI number | 1427325109 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glen Halvorson — Medical Director · (877) 408-2488 |
| NPI enumerated | November 22, 2011 |
| Last updated in NPPES | March 27, 2012 |
| Mailing address | 11726 San Vicente Blvd, Suite 414, Los Angeles, CA 90049-5044 |
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