MR. PHILIP FAGAN MD NPI 1235634940

NPI Information

NPI: 1235634940
Provider Name: MR. PHILIP FAGAN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 760-9222
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MR. Philip Fagan, MD is a general practice in Newport Beach, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MR. Philip Fagan, MD NPI is 1235634940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA
ZIP 92660-505
Phone: (949) 760-9222
Fax: (949) 579-2906

The enumeration date for this NPI number is 3/26/2018 and was last updated on 11/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A163621	CALIFORNIA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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