Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Irvin Fragoso

Individual provider Rehabilitation Practitioner · NPI 1487034278

Irvin Fragoso is a Rehabilitation Practitioner in North Hollywood, California. Works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

6736 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606
Phone: (818) 755-8784
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12099 W Washington Blvd, Los Angeles, CA 90066-5882 — (818) 355-9180

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1487034278
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESJuly 24, 2018

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