Organization
CAN EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP J, FAGAN JR. M.D. (PRESIDENT)
(747) 283-1809
Entity
Organization
Contact information
Practice address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4618
(408) 559-2011
Mailing address
2550 N HOLLYWOOD WAY STE 304, BURBANK, CA 91505-5028
(747) 283-1809
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
08/21/2024
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