Dr. Michael H. Fenn
Otolaryngologist (ENT Doctor)
5565 Grossmont Center Dr Suite# 352
La Mesa
, California 91942-3020
Dr. Michael H. Fenn
Otolaryngologist (ENT Doctor)
5565 Grossmont Center Dr Suite# 352
La Mesa
, California 91942-3020
(619) 466-0048
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Michael H. Fenn
- 5565 Grossmont Center Dr Suite# 352
- La Mesa, CA
- Zip : 91942-3020
- Phone : (619) 466-0048
Second Address
- Dr. Michael H. Fenn
- 5565 Grossmont Center Dr Suite# 352
- La Mesa, CA
- Zip : 91942-3020
- Phone : (619) 466-0048
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G17188 | CA |
National Provider Identifier
| NPI | 1013946904 |
|---|---|
| Provider Name | Dr. Michael H. Fenn |
| First Address | La Mesa, CA 91942-3020 |
| Second Address | La Mesa, CA 91942-3020 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G171880 | (05) | CA |
| A90483 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.