# EAGLE-1 HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700198447
- **Authorized official:** DR. HOWARD T PFUPAJENA MD (PRESIDENT/CEO)
- **Authorized official phone:** (213) 426-0555

## Contact information

- **Practice address:** 240 N VIRGIL AVE, 7, LOS ANGELES, CA 90004-5399
- **Practice address phone:** (213) 426-0555
- **Practice address fax:** (213) 739-8843
- **Mailing address:** 240 N VIRGIL AVE, 7, LOS ANGELES, CA 90004-5399
- **Mailing address phone:** (213) 426-0555
- **Mailing address fax:** (213) 739-8843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G29345 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2010
- **Last updated:** 07/10/2010