Most Relevant Information
Provider Data
| NPI Number: | 1003005109 |
| Provider Name: | NICHOLAS AARON FETTMAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Y00000X |
| Specialty: | Otolaryngology |
| License Number: | A116624 |
Most Important Dates
| Enumeration Date: | 10/15/2007 |
| Last Updated: | 11/27/2019 |
Provider Practice Location
1700 N ROSE AVE
SUITE 460
OXNARD
CA
930303790
Practice Location Phone/Fax
| Phone: | 8059830395 |
| Fax: | 8059830463 |
Provider Mailing Location
2876 SYCAMORE DR
SUITE 303
SIMI VALLEY
CA
930651530
Provider Mailing Phone/Fax
| Phone: | 8055277320 |
| Fax: | 8055272426 |
Suggested EMR
ENT EMR