Fischer, Trevan Dale
Fischer, Trevan Dale is an individual health care provider with primary practice located at 2121 Santa Monica Blvd , Santa Monica CA 90404-2303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Fischer, Trevan Dale can be contacted via phone (310) 829-8781.Contact Information
Primary practice address
2121 Santa Monica Blvd
Santa Monica CA 90404-2303
Phone: (310) 829-8781
Fax: (310) 582-7185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 135300 | California |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 135300 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | TRN12753 | Florida |
Profile Details
| NPI number | 1154580017 |
|---|---|
| LBN Legal business name | Fischer, Trevan Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2008 |
| Last updated | Apr 21st, 2023 - about 3 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.
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