Provider Demographics
NPI:1669425542
Name:FIK, ED (MD)
Entity type:Individual
Prefix:DR
First Name:ED
Middle Name:
Last Name:FIK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15823 WARM SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-4032
Mailing Address - Country:US
Mailing Address - Phone:800-516-4567
Mailing Address - Fax:818-895-9588
Practice Address - Street 1:16111 PLUMMER ST
Practice Address - Street 2:
Practice Address - City:SEPULVEDA
Practice Address - State:CA
Practice Address - Zip Code:91343-2036
Practice Address - Country:US
Practice Address - Phone:800-516-4567
Practice Address - Fax:818-895-9588
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG282032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry