Neil D. Fagen,m.d.,inc.

NPI 1023311008 - Internal Medicine - 207RG0100X

NPI Details
NPI 1023311008
Enumeration Date 12/13/2010
Last Updated 12/13/2010
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name NEIL D NEIL
Position PRESIDENT
Phone (818) 996-4796
Fax (818) 996-4793
Practice Location
18411 CLARK ST
204
TARZANA CA, 91356-3535, US
Phone (818) 996-4796
Fax (818) 996-4793
Business Location
18411 CLARK ST
204
TARZANA CA, 91356-3535, US
Phone (818) 996-4796
Fax (818) 996-4793
Toxanomy
Taxonomy Code 207RG0100X
License State
License Number
Remove 1023311008 NPI Number
 

According to our database, Neil D. Fagen,m.d.,inc. NPI is 1023311008, taxonomy code is 207RG0100X Neil D. Fagen,m.d.,inc. physically located at 18411 Clark St, Tarzana CA, 91356-3535. NPI Number 1033115704 has the healthcare provider type.

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1023311008 NPI number is provided on an as is basis without warranty of any kind. 1023311008 is maintained by the National Plan & Provider Enumeration System. The contents of Neil D. Fagen,m.d.,inc. are for informational purposes only.