# BRIAN K FENMORE MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215107792
- **Authorized official:** BRIAN K FENMORE M.D. (PRESIDENT)
- **Authorized official phone:** (818) 708-8011

## Contact information

- **Practice address:** 18411 CLARK ST, 108, TARZANA, CA 91356-3506
- **Practice address phone:** (818) 708-8011
- **Practice address fax:** (818) 708-8826
- **Mailing address:** 18411 CLARK ST, 108, TARZANA, CA 91356-3506
- **Mailing address phone:** (818) 708-8011
- **Mailing address fax:** (818) 708-8826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A43642 | CA | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/11/2008