Vincent R. Fennell in Los Angeles - Diagnostic Radiology

Vincent R. Fennell - NPI 1497798839

Vincent R. Fennell is a Diagnostic Radiology in Los Angeles, California. Vincent R. Fennell practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Vincent R. Fennell is 1497798839. The last update date is 2014-01-31.

Vincent R. Fennell's current location address is 1516 Cotner Ave, Los Angeles, California. You can contact this provider via phone number 3104452951 and fax number 3104791459. The mailing address for Vincent R. Fennell is 1516 Cotner Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Vincent R. Fennell
Address 1516 Cotner Ave, Los Angeles, California
Phone Number 3104452951
Fax Number 3104791459
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1497798839
Provider Enumeration Date 2006-06-14
Last Updated Date 2014-01-31

Provider Mailing Address Detail

Address 1516 Cotner Ave
City Los Angeles
State California (CA)
Post Code 900253303
Phone Number 3104452951
Fax Number 3104791459

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No A22155
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A221550 CA --
GR0106039 CA --
00A221550 CA BLUE SHIELD
GR0105899 CA --
GR0105898 CA --

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FAQs about Vincent R. Fennell

What is the Vincent R. Fennell's unique identification number?

The Vincent R. Fennell has been assigned the NPI (National Provider Identifier) Number 1497798839 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Vincent R. Fennell is geographically located?

The Vincent R. Fennell is physically situated at the following location: 1516 Cotner Ave, Los Angeles, CA, 900253303.

What is Vincent R. Fennell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Vincent R. Fennell's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date did the Vincent R. Fennell receive the assignment of its 1497798839 from the Centers for Medicare & Medicaid Services?

The Vincent R. Fennell was issued its 1497798839 by the Centers for Medicare & Medicaid Services on 2006-06-14.

When was the information regarding Vincent R. Fennell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Vincent R. Fennell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-01-31.

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