Philip J. Fagan in Tustin - Internal Medicine
Philip J. Fagan - NPI 1255335154
Philip J. Fagan is a Internal Medicine in Tustin, California. Philip J. Fagan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Philip J. Fagan is 1255335154. The last update date is 2015-08-07.
Philip J. Fagan's current location address is 14642 Newport Ave Ste 101, Tustin, California. You can contact this provider via phone number 7145816470 and fax number 7145816492. The mailing address for Philip J. Fagan is 14642 Newport Ave Ste 101, Tustin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip J. Fagan |
|---|---|
| Address | 14642 Newport Ave Ste 101, Tustin, California |
| Phone Number | 7145816470 |
| Fax Number | 7145816492 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255335154 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2015-08-07 |
Provider Mailing Address Detail
| Address | 14642 Newport Ave Ste 101 |
|---|---|
| City | Tustin |
| State | California (CA) |
| Post Code | 9278060580 |
| Phone Number | 7145816470 |
| Fax Number | 7145816492 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | C32505 |
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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 di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C325050 | CA | CALOPTIMA | |
| 00C325050 | CA | -- | |
| C32505 | CA | BLUE CROSS | |
| 00C325050 | CA | BLUE SHIELD | |
| 930085818 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Philip J. Fagan by the Centers for Medicare & Medicaid Services?
The Philip J. Fagan has been assigned the NPI (National Provider Identifier) 1255335154. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Philip J. Fagan's physical address?
The Philip J. Fagan is physically located at 14642 Newport Ave Ste 101, in the city of Tustin, CA, with the postal code 9278060580.
What is Philip J. Fagan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Philip J. Fagan's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
When did the Philip J. Fagan receive its 1255335154?
The Philip J. Fagan was issued its 1255335154 on 2005-06-08, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Philip J. Fagan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Philip J. Fagan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-08-07.