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Vincent R. Fennell, MD
Diagnostic Radiology Physician in Los Angeles, California
NPI 1497798839

Vincent R. Fennell is a Diagnostic Radiology Physician based in Los Angeles, CA and is specialized in Diagnostic Radiology. Vincent R. Fennell practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Vincent R. Fennell is 1497798839 and holds a License No. A22155 (California).

The current practice location address for Vincent R. Fennell is 1516 Cotner Ave, Los Angeles, CA and can be reached out via phone at 310-445-2951 and via fax at 310-479-1459.

Location: 1516 Cotner Ave, Los Angeles, CA, 90025-3303
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Provider Profile Details
NPI Number
1497798839
Provider Name
Vincent R. Fennell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1516 Cotner Ave, Los Angeles, CA, 90025-3303
Phone Number
310-445-2951
Fax Number
310-479-1459
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A221550 05 CA
GR0106039 05 CA
00A221550 01 CA BLUE SHIELD
GR0105899 05 CA
GR0105898 05 CA
institution
Provider Business Practice Location Address Details
Address
1516 Cotner Ave
City
State
Zip
90025-3303
Phone Number
310-445-2951
Fax Number
310-479-1459
person
Provider Business Mailing Address Details
Address
1516 Cotner Ave
City
State
Zip
90025-3303
Phone Number
310-445-2951
Fax Number
310-479-1459
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
A22155 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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