Individual provider · Type 1 NPI
Sara Kathleen Fagan, PA-C
Surgical Physician Assistant · San Diego, CA
NPI number
1679721245
Active
Practice location
200 W Arbor Dr
San Diego, CA 92103
Fax (888) 539-8781
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Other practice locations
- 4215 Spring St Ste 125, La Mesa, CA 91941-7983 · (619) 461-7277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA-760 (ID) |
| Surgical Physician Assistant Primary | 363AS0400X | 51668 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1679721245
Sara Kathleen Fagan, PA-C's National Provider Identifier is 1679721245, issued on Sep 8, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Diego, CA. The record was last updated on Jun 10, 2019.