Organization
BRIAN K FENMORE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K FENMORE M.D. (PRESIDENT)
(818) 708-8011
Entity
Organization
Contact information
Practice address
18411 CLARK ST, 108, TARZANA, CA 91356-3506
(818) 708-8011
(818) 708-8826
Mailing address
18411 CLARK ST, 108, TARZANA, CA 91356-3506
(818) 708-8011
(818) 708-8826
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A43642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B50510
UPIN
CA
Enumeration date
03/11/2008
Last updated
03/11/2008
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