Fagan, Philip

Fagan, Philip is an individual health care provider with primary practice located at 2075 San Joaquin Hills Rd , Newport Beach CA 92660-6505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Fagan, Philip can be contacted via phone (949) 760-9222.

Contact Information

Primary practice address
2075 San Joaquin Hills Rd Newport Beach CA 92660-6505
Phone: (949) 760-9222
Fax: (949) 579-2906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A163621 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1235634940
LBN Legal business name Fagan, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2018
Last updated Nov 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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