Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Fennerty, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093465973

Mitchell Fennerty, MD is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Angeles, CA

Additional practice locations (2)

  • 1200 N State St, Los Angeles, CA 90089-1001 — (323) 226-2622
  • 340 W 10th St, Indianapolis, IN 46202-3082 — (317) 345-1039

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 9123 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093465973
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESAugust 30, 2022
Certification dateMay 2, 2022

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