Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAD FENNAR, DPM
Active Sole ProprietorTAD FENNAR, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in SAN PEDRO, California. NPI 1134151194 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · SAN PEDRO, CA
Registration Details
- NPI Number
- 1134151194
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.141653089 yrs)
- Last Updated
- Oct 15, 2008
- License
-
E4107 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1300 W 6TH STSUITE 2SAN PEDRO, CA, 907323531Browse CA providers · Browse ZIP 90732
- Phone
- 3108310728
- Fax
- 3108318564
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in SAN PEDRO, CA
| Name | Credential | NPI |
|---|---|---|
| RUSSELL A. GROOTEGOED | DPM | 1194767921 |
| ERIC M FEIT | DPM, INC | 1366534216 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.