EAGLE-1 HEALTHCARE INC NPI 1700198447

NPI Information

EAGLE-1 HEALTHCARE INC is a general practice in Los Angeles, CA. EAGLE-1 HEALTHCARE INC NPI is 1700198447. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

240 N VIRGIL AVE
7
LOS ANGELES, CA
ZIP 90004-399
Phone: (213) 426-0555
Fax: (213) 739-8843

The provider's authorized official is Howard T Pfupajena .
The authorized official title is President/ceo and has the following contact phone number (213) 426-0555.

The enumeration date for this NPI number is 7/10/2010 and was last updated on 7/10/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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