| Eagle-1 Healthcare Inc | |
|
240 N Virgil Ave 7 Los Angeles CA 90004-5399 | |
| (213) 426-0555 | |
| (213) 739-8843 |
| Full Name | Eagle-1 Healthcare Inc |
|---|---|
| Speciality | General Practice |
| Location | 240 N Virgil Ave, Los Angeles, California |
| Authorized Official Name and Position | Howard T Pfupajena (PRESIDENT/CEO) |
| Authorized Official Contact | 2134260555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle-1 Healthcare Inc 240 N Virgil Ave 7 Los Angeles CA 90004-5399 Ph: (213) 426-0555 | Eagle-1 Healthcare Inc 240 N Virgil Ave 7 Los Angeles CA 90004-5399 Ph: (213) 426-0555 |
| NPI Number | 1700198447 |
|---|---|
| Provider Enumeration Date | 07/10/2010 |
| Last Update Date | 07/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700198447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G29345 (California) | Primary |
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