FAGAN ER MEDICAL GROUP INC - NPI 1588689236 - Internal Medicine in Los Angeles, CA

Q: What is Fagan ER Medical Group Inc's NPI number?

The NPI number for Fagan ER Medical Group Inc is 1588689236. It was assigned to this organization in the NPPES registry on July 13, 2006.

Q: What is Fagan ER Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Fagan Er Medical Group Inc NPPES

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

FAGAN ER MEDICAL GROUP INC (NPI 1588689236) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since July 2006. The organization lists Philip J. Fagan, President, as its authorized official.

NPPES Registry Identity

NPI1588689236

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameFAGAN ER MEDICAL GROUP INC

Location Address1225 WILSHIRE BOULEVARDLos Angeles, CA 90017-2395

Mailing Address520 N Central Ave, Suite 750Glendale, CA 91203-1926 · (818) 557-0135 · Fax (818) 557-1394

Phone(213) 482-2741

Organization SubpartNo

Authorized OfficialPhilip J. FaganPresident · (818) 557-0135

Enumeration DateJuly 13, 2006

Last NPPES UpdateDecember 13, 2010

✔ NPI 1588689236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1225 WILSHIRE BOULEVARD, Los Angeles, CA 90017

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Other Identifiers 4

OtherZZZ43319ZCA · Good Sam Blue Shield

OtherCC6682CA · Good Sam Railroad

Medicare PINHW11330ACA

MedicaidGR0048650CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

MR. JACK G. FULLER PA-C

Physician Assistant