Search › California › 171M00000X
Irvin Fragoso
NPI 1487034278 · on the registry since 2015
Practice
- Address
- 6736 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606 - Phone
- (818) 755-8784
- Organisation at this address
- The Village
Village Family Services
The Village Family Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 200
Additional practice sites
- 12099 W Washington Blvd, Los Angeles, CA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 225400000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California