Fagan, Philip J.
Fagan, Philip J. is an individual health care provider with primary practice located at 14642 Newport Ave Ste 101 , Tustin CA 92780-6058. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Fagan, Philip J. can be contacted via phone (714) 581-6470.Contact Information
Primary practice address
14642 Newport Ave Ste 101
Tustin CA 92780-6058
Phone: (714) 581-6470
Fax: (714) 581-6492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C32505 | California |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | C32505 | California |
Profile Details
| NPI number | 1255335154 |
|---|---|
| LBN Legal business name | Fagan, Philip J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jan 23rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255335154 | NPPES |
| California | Other | 00C325050 | BLUE SHIELD |
| California | MEDICAID | 00C325050 | BLUE SHIELD |
| California | Other | 00C325050 | BLUE SHIELD |
| California | Other | 930085818 | BLUE SHIELD |
| California | Other | C32505 | BLUE SHIELD |
Popular Providers
-
Moore, Eddie P
1900 Pine St , Abilene TX 79601-2432 -
Kerr, Michael K
18101 Prince Philip Dr Montgomery General Hospital, Olney MD 20832-1514 -
Cushing, Cameron C
4320 Seminary Rd Alexandria Hospital, Alexandria VA 22304-1535 -
Allakhverdova, Larisa I
1225 E Coolspring Ave , Michigan City IN 46360-6312 -
Ng, Fergus S
14662 Newport Ave , Tustin CA 92780-6064 -
Jen, Maxwell
17400 Irvine Blvd Ste N , Tustin CA 92780-3030 -
Hurtado, Timothy Ray
2222 N Nevada Ave Front Range Emergency Specialists, Colorado Springs CO 80907-6819 -
Bartalos, Christopher R
20 Ne Saint Lukes Blvd Ste 330 , Lees Summit MO 64086-6001