| NPI | 1619129921 |
|---|---|
| Doing Business As | DR. JOHN E. FAGAN |
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD FAGAN President 661-822-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 7946T) |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health (Licence: CA 7946T) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2009-03-25 |