Individual
NEIL D FAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18411 CLARK ST STE 204, TARZANA, CA 91356-3535
(818) 996-4796
(818) 996-4793
Mailing address
18411 CLARK ST STE 204, TARZANA, CA 91356-3535
(818) 996-4796
(818) 996-4793
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G29304
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G293040
—
CA
Enumeration date
08/18/2005
Last updated
11/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us