Individual
DR. PHYLLIS F AGRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
805 W LA VETA AVE, SUITE 108, ORANGE, CA 92868-3901
(714) 744-0776
(714) 744-6033
Mailing address
805 W LA VETA AVE, SUITE 108, ORANGE, CA 92868-3901
(714) 744-0776
(714) 744-6033
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
G37725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G377250
—
CA
01
—
953842393
EMPLOYER ID
CA
Enumeration date
07/21/2006
Last updated
11/30/2021
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