Tad Fennar is a San Pedro, California based male podiatrist who is specialized in Podiatric Foot & Ankle Surgery. Active license number of Tad Fennar for Podiatric Foot & Ankle Surgery is E4107 in California. Tad Fennar provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Tad Fennar speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Gender:
Male
Practice Address:
1300 W 6th St, Suite 2, San Pedro, California, 90732-3531
Phone:
310-831-0728
Fax:
310-831-8564
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1134151194
NPI Enumeration Date:
07 Jul, 2006
NPI Last Update On:
15 Oct, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tad Fennar are as mentioned below.
License Number
Specialization
State
Status
E4107
Podiatric Foot & Ankle Surgery
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Tad Fennar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000E41070
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1300 W 6th St, Suite 2 San Pedro, California
Zip:
90732-3531
Phone Number:
310-831-0728
Fax Number:
310-831-8564
Patients can reach Tad Fennar at 1300 W 6th St, Suite 2, San Pedro, California or can call to book an appointment on 310-831-0728. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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