Individual provider · Type 1 NPI

Ian Fetterolf, MA, MSW

Student in an Organized Health Care Education/Training Program · La Jolla, CA

NPI number 1043736358 Active

Practice location

7777 Fay Ave Ste 205
La Jolla, CA 92037-4324

Call (415) 646-4506 Map

Mailing address

912 Cole St # 368
San Francisco, CA 94117-4316

Other practice locations

  • 1436 Goodrich Blvd, Commerce, CA 90022-5111 · (323) 832-9795
  • 777 Fay Avenue, Suite #205, La Jolla, CA 92037 · (415) 646-4506

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

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About NPI 1043736358

Ian Fetterolf, MA, MSW's National Provider Identifier is 1043736358, issued on Aug 17, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Jolla, CA. The record was last updated on Jul 21, 2022.