Agran, Phyllis F
Agran, Phyllis F is an sole proprietor health care provider with primary practice located at 805 W La Veta Ave Suite 108, Orange CA 92868-3901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Agran, Phyllis F can be contacted via phone (714) 744-0776.Contact Information
Primary practice address
805 W La Veta Ave Suite 108
Orange CA 92868-3901
Phone: (714) 744-0776
Fax: (714) 744-6033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | G37725 | California |
Profile Details
| NPI number | 1578583365 |
|---|---|
| LBN Legal business name | Agran, Phyllis F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Nov 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578583365 | NPPES |
| California | MEDICAID | 00G377250 | |
| California | Other | 953842393 |
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