Organization · Type 2 NPI

C. H. Fagan, M.d., Inc

Health Service Clinic/Center · Big Bear Lake, CA

NPI number 1487838074 Active

Practice location

41933 Big Bear Blvd.
Big Bear Lake, CA 92315-6848

Call (909) 866-5868 Map

Fax (909) 866-5860

Mailing address

P. O. Box 6848 Pmb 278
Big Bear Lake, CA 92315-6848

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	G42774 (CA)

Health Service Clinic/Center: Definition to come...

About NPI 1487838074

C. H. Fagan, M.d., Inc's National Provider Identifier is 1487838074, issued on Dec 19, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Big Bear Lake, CA. The record was last updated on Dec 19, 2007.