Search › California › 207X00000X

Mitchell Fennerty, MD

NPI 1093465973 · on the registry since 2022

Practice

Address
1500 San Pablo St
Los Angeles, CA 90033
Phone
(800) 872-2273
Organisation at this address
Usc University Hospital
Usc Radiology Associates
Keck Medical Center Of Usc
Keck Medical Center Of Usc
Usc University Hospital, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
654

Additional practice sites

  • 340 W 10th St, Indianapolis, IN
  • 1200 N State St, Los Angeles, CA

Registry record

Primary taxonomy
207X00000X
207X00000X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-30

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