Individual provider · NPI-1
Yaniv Fenig, M.D.
Transplant Surgery · San Bernardino, CA
NPI number1083029839
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1083029839
- Entity type
- Individual (NPI-1)
- Name
- Yaniv Fenig
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2014
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204F00000X | Transplant Surgery | C191859 | CA | Yes |
| 204F00000X | Transplant Surgery | 298122 | NY |
Practice location
197 E Caroline StSan Bernardino, CA 92408-3729
Phone 800-548-3790
Mailing address
197 E Caroline StSan Bernardino, CA 92408-3729
Phone 800-548-3790
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