Search › California › 174400000X
Paul Fedorenko
NPI 1538407903 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2204 W Capitol Ave
West Sacramento, CA 95691 - Phone
- (916) 572-0811
- Fax
- (916) 572-0813
- Organisation at this address
- Kerry'S Medical Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California