Fragoso, Irvin

Fragoso, Irvin is an individual health care provider with primary practice located at 6736 Laurel Canyon Blvd Ste 200 , North Hollywood CA 91606. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Fragoso, Irvin can be contacted via phone (818) 755-8784.

Contact Information

Primary practice address
6736 Laurel Canyon Blvd Ste 200 North Hollywood CA 91606
Phone: (818) 755-8784
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1487034278
LBN Legal business name Fragoso, Irvin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
Last updated Jul 24th, 2018 - about 8 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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