Eagle-1 Healthcare Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G29345 Issued in CA

Legal business name

EAGLE-1 HEALTHCARE INC

Practice address

240 N Virgil Ave
7
Los Angeles, CA 90004-5399

Phone

(213) 426-0555

Fax

(213) 739-8843

NPI assigned

Jul 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Howard T Pfupajena, MD

Title

President/Ceo

Phone

(213) 426-0555

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1700198447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N VIRGIL AVE",
            "address_2": "7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045399",
            "telephone_number": "213-426-0555",
            "fax_number": "213-739-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N VIRGIL AVE",
            "address_2": "7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045399",
            "telephone_number": "213-426-0555",
            "fax_number": "213-739-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE-1 HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "PFUPAJENA",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "213-426-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G29345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alison Eagle, M.A. AMFT
• Luke Smile Eagle, CLS
• Jennifer Lynn Eakes, NBHWC, RYT
• Michelle Ann Bueno Eala, MD
• Lauren Eales, PHD

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.