| NPI | 1760648539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP J FAGAN President/Medical Director 310-678-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C32505) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA C32505) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2022-08-03 |