Organization
C. H. FAGAN, M.D., INC
Active
Organization
C. H. FAGAN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER HEIN FAGAN M.D. (PRESIDENT)
(909) 866-5868
Entity
Organization
Contact information
Practice address
41933 BIG BEAR BLVD., BIG BEAR LAKE, CA 92315-6848
(909) 866-5868
(909) 866-5860
Mailing address
P. O. BOX 6848 PMB 278, BIG BEAR LAKE, CA 92315-6848
(909) 866-5868
(909) 866-5860
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G42774
CA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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