Fenton, Drew Evan
Fenton, Drew Evan is an sole proprietor health care provider with primary practice located at 1730 W Olympic Blvd Suite 100, Ground Floor, Los Angeles CA 90015-1019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fenton, Drew Evan can be contacted via phone (213) 247-4000.Contact Information
Primary practice address
1730 W Olympic Blvd Suite 100, Ground Floor
Los Angeles CA 90015-1019
Phone: (213) 247-4000
Fax: (800) 884-7293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G55500 | California |
Profile Details
| NPI number | 1508837873 |
|---|---|
| LBN Legal business name | Fenton, Drew Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jul 23rd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508837873 | NPPES |
| California | MEDICAID | 00G555000 |
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