Bear Mountain Family Practice
NPI #1720107592 in Big Bear Lake, California
Provider Information
- NPI Number
- 1720107592
- Entity Type
- Organization
- Organization Name
- Bear Mountain Family Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Feb 23, 2021
Practice Location
- Address
- 41945 BIG BEAR BLVD STE 200
- City
- Big Bear Lake
- State
- California
- ZIP Code
- 92315-2030
- Phone
- (909) 866-5868
Authorized Official
- Name
- DR. CHRISTOPHER H. FAGAN, MD
- Title
- PRESIDENT
- Phone
- (909) 866-5868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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