Organization
ANTHONY T. FENISON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY T FENISON MD (OFFICER)
(951) 924-4700
Entity
Organization
Contact information
Practice address
23100 EUCALYPTUS AVE, MORENO VALLEY, CA 92553-5439
(951) 924-4700
(951) 924-1320
Mailing address
23100 EUCALYPTUS AVE, MORENO VALLEY, CA 92553-5439
(951) 924-4700
(951) 924-1320
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G73330
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G733300
MEDICARE PTAN
CA
Enumeration date
09/23/2010
Last updated
09/23/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us