Individual
DR. NICHOLAS AARON FETTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 N ROSE AVE, SUITE 460, OXNARD, CA 93030-3790
(805) 983-0395
(805) 983-0463
Mailing address
2876 SYCAMORE DR, SUITE 303, SIMI VALLEY, CA 93065-1530
(805) 527-7320
(805) 527-2426
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A116624
CA
Other
Enumeration date
10/15/2007
Last updated
11/27/2019
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