Individual
DR. KENTON HOWARD FIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 PARK TERRACE, 100, 125, 400, LOS ANGELES, CA 90045-9004
(310) 665-7200
(646) 714-6376
Mailing address
535 E 70TH ST, ATTENTION: KENTON FIBEL, MD, NEW YORK, NY 10021-4823
(646) 714-6323
(646) 714-6376
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
268986
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A118684
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2010
Last updated
08/26/2021
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