Organization
EAGLE-1 HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD T PFUPAJENA MD (PRESIDENT/CEO)
(213) 426-0555
Entity
Organization
Contact information
Practice address
240 N VIRGIL AVE, 7, LOS ANGELES, CA 90004-5399
(213) 426-0555
(213) 739-8843
Mailing address
240 N VIRGIL AVE, 7, LOS ANGELES, CA 90004-5399
(213) 426-0555
(213) 739-8843
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G29345
CA
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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