MEDICARE: DR. ED FIK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	G28203	CA

General Provider Information

NPI Number	:	1669425542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ED FIK MD

Provider Business Mailing Address
First Line	:	15823 WARM SPRINGS DR
Second Line	:
City	:	CANYON COUNTRY
State	:	CA
Zip	:	91387-4032
Country	:	US
Telephone Number	:	800-516-4567
Fax Number	:	818-895-9588

Provider Business Practice Location Address
First Line	:	16111 PLUMMER ST
Second Line	:
City	:	SEPULVEDA
State	:	CA
Zip	:	91343-2036
Country	:	US
Telephone Number	:	800-516-4567
Fax Number	:	818-895-9588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	09/06/2023

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