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

Mr. Charles Phillip Andrew Fagan

Individual provider Case Manager/Care Coordinator · NPI 1720466626

Mr. Charles Phillip Andrew Fagan is a Case Manager/Care Coordinator in Azusa, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

23701 E East Fork Rd
Azusa, CA 91702-1477
Phone: (626) 250-3290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1720466626
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 12, 2015
Last updated in NPPESMay 12, 2015

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