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FETT DERM CORP
NPI 1508501305
Specialist in Los Angeles, CA

Active since May 05, 2022
11645 WILSHIRE BLVD STE 1070, LOS ANGELES, CA 90025(310) 720-6646 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Aug 9, 2025, Jun 6, 2022 and 1 more (4 updates tracked since 2022).

About Fett Derm Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FETT DERM CORP (NPI 1508501305), doing business as Fett Derm Llc, is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since May 2022. The organization lists Sabrina Fett, President, as its authorized official.

NPPES Registry Identity

NPI1508501305
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFETT DERM CORP
Location Address11645 WILSHIRE BLVD STE 1070Los Angeles, CA 90025-6810
Mailing Address11645 Wilshire Blvd Ste 1070Los Angeles, CA 90025-6810 · (310) 720-6646
Phone(310) 720-6646
Organization SubpartNo
Authorized OfficialSabrina FettPresident · (310) 720-6646
Enumeration DateMay 5, 2022
Last NPPES UpdateSeptember 8, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1508501305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11645 WILSHIRE BLVD STE 1070, Los Angeles, CA 90025
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Other Names 1

Former Legal Business NameFett Derm Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABRINA FETT CPE
Specialist
11645 WILSHIRE BLVD STE 1070
LOS ANGELES, CA 90025
Los Angeles County (310) 720-6646
MITHZY NELSON
Specialist
11645 WILSHIRE BLVD STE 1070
LOS ANGELES, CA 90025
Los Angeles County (310) 720-6646
RAHA DADGAR
Specialist
11645 WILSHIRE BLVD STE 1070
LOS ANGELES, CA 90025
Los Angeles County (310) 720-6646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fett Derm Corp's NPI number?

The NPI number for Fett Derm Corp is 1508501305. It was assigned to this organization in the NPPES registry on May 5, 2022. The provider was formerly known as Fett Derm LLC.

Where is Fett Derm Corp located?

Fett Derm Corp is located at 11645 Wilshire Blvd Ste 1070, Los Angeles, CA 90025. The listed phone number is (310) 720-6646.

What is Fett Derm Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fett Derm Corp was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.