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NPI Code Detail

MEDICARE: PAUL R. FOX, M.D. A PROFESSIONAL CORPORATION

MEDICARE: PAUL R. FOX, M.D. A PROFESSIONAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianA22439CA

General Provider Information

NPI Number : 1053552950
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL R. FOX, M.D. A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 1823 SAWTELLE BLVD
Second Line : SUITE 7
City : LOS ANGELES
State : CA
Zip : 90025-5532
Country : US
Telephone Number : 310-479-4555
Fax Number : 310-479-8444
Provider Business Practice Location Address
First Line : 1823 SAWTELLE BLVD
Second Line : SUITE 7
City : LOS ANGELES
State : CA
Zip : 90025-5532
Country : US
Telephone Number : 310-479-4555
Fax Number : 310-479-8444
Authorized Official
Title or Position : PRESIDENT
Name : PAUL FOX
Credential : M.D.
Telephone Number : 310-479-4555
Provider Enumeration Date : 03/23/2009
Last Update Date : 03/23/2009

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