Organization
CALIFORNIA HOSPITALISTS EMERGENCY PHYSICIANS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP J FAGAN JR. M.D. (PRESIDENT/MEDICAL DIRECTOR)
(310) 678-7647
Entity
Organization
Contact information
Practice address
13222 BLOOMFIELD AVE, NORWALK, CA 90650-3249
(747) 283-1809
Mailing address
24955 PACIFIC COAST HWY, SUITE C-202, MALIBU, CA 90265-4700
(310) 839-6175
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C32505
CA
208M00000X
Hospitalist Physician
C32505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C32505
STATE LICENSE
CA
Enumeration date
07/31/2008
Last updated
08/03/2022
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