IndividualActive
Graham Fedorak, MD
NPI 1679902746 · Pediatric Orthopaedic Surgery Physician · Los Angeles, CA
Provider details
- NPI number
- 1679902746
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A127300 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3160 Geneva St
Los Angeles, CA 90020-1117
Phone: (213) 388-3151
Approximate (ZIP-level) locationGet directions
Mailing address
3160 Geneva St
Los Angeles, CA 90020-1117
Registry dates
- Enumerated
- 2013-11-08
- Last updated
- 2013-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.