Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT ERIC PETTY, RVT, RDMS
Active Sole ProprietorBRENT ERIC PETTY, RVT, RDMS is a 2471V0105X healthcare provider located in INGLEWOOD, California. NPI 1992449680 is currently active in the NPPES registry. Verify at CMS.
2471V0105X · INGLEWOOD, CA
Registration Details
- NPI Number
- 1992449680
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2022 (4.3097323461943 yrs)
- Last Updated
- Apr 27, 2022
- License
-
146300 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
530 E QUEEN STINGLEWOOD, CA, 903011929Browse CA providers · Browse ZIP 90301
- Phone
- 3109463707
- Primary Specialty
-
2471V0105X
2471V0105X
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.