Individual
DR. DANIEL H FAGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12264 EL CAMINO REAL, SUITE 102, SAN DIEGO, CA 92130-3058
(858) 523-9700
(858) 523-9711
Mailing address
1111 OPAL ST, SAN DIEGO, CA 92109-1831
(858) 273-0911
(858) 273-0911
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G86628
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G86628
CA
Other
Enumeration date
04/26/2007
Last updated
09/11/2025
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