Individual
ALAN M FOGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #214,365,530,420,120, LOS ANGELES, CA 90095-3075
(310) 825-8811
(310) 208-2870
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 825-6058
(310) 208-2870
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A22560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A225600
—
CA
Enumeration date
07/11/2006
Last updated
03/03/2010
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