MEDICARE: DAVID EDWARD FERMELIA M D

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	208600000X	Surgery Physician	G57874	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932280450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID EDWARD FERMELIA M D

Provider Business Mailing Address
First Line	:	8631 W 3RD ST STE 710E
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5911
Country	:	US
Telephone Number	:	310-278-0567
Fax Number	:	310-854-5672

Provider Business Practice Location Address
First Line	:	8631 W 3RD ST STE 710E
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5911
Country	:	US
Telephone Number	:	310-278-0567
Fax Number	:	310-854-5672

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1679763916 — ROBERT B GERBER DDS A PROF CORP
Practice Location Address:

8631 WEST THIRD STREET , SUITE 730E
LOS ANGELES, CA
90048-5911

Practice Phone: 310-652-0450
Practice Fax: 310-652-0458

1811141591 — CARDIAC ELECTROPHYSIOLOGY INSTITUTE PC
Practice Location Address:

8631 W 3RD ST STE 710E
LOS ANGELES, CA
90048-5911

Practice Phone: 310-746-5335
Practice Fax: 310-499-0025

1265806822 — SPECIALIZED UROLOGIC SURGEONS
Practice Location Address:

8631 W 3RD ST STE 715E
LOS ANGELES, CA
90048-5911

Practice Phone: 310-278-8330
Practice Fax: 310-278-7595

1700250362 — SPECIALIZED PHYSICIANS
Practice Location Address:

8631 W 3RD ST STE 715E
LOS ANGELES, CA
90048-5911

Practice Phone: 310-278-8330
Practice Fax: 310-278-7595

1811420458 — ELI SIMSOLO M.D.
Practice Location Address:

8631 W 3RD ST STE 710E
LOS ANGELES, CA
90048-5911

Practice Phone: 310-746-5335
Practice Fax: 310-499-0025

1760019087 — DR. MICAH JAMES BRAINERD MD
Practice Location Address:

8631 W 3RD ST STE 710E
LOS ANGELES, CA
90048-5911

Practice Phone: 989-574-8672
Practice Fax:

Directions to “ DAVID EDWARD FERMELIA M D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.