# DAVID R. FETT M.D. INC.

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

## Provider details

- **NPI number:** 1649459884
- **Authorized official:** DR. DAVID RICHARD FETT M.D. (PRESIDENT)
- **Authorized official phone:** (310) 476-0800

## Contact information

- **Practice address:** 11645 WILSHIRE BLVD, SUITE 905, LOS ANGELES, CA 90025-1708
- **Practice address phone:** (310) 476-0800
- **Practice address fax:** (310) 477-1661
- **Mailing address:** 11645 WILSHIRE BLVD, SUITE 905, LOS ANGELES, CA 90025-1708
- **Mailing address phone:** (310) 476-0800
- **Mailing address fax:** (310) 477-1661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 10/24/2007