| Doctor Name: | DR. RAYMOND NELSON FOXGORD |
| NPI Number: | 1023009735 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D.C.M. |
| License Number: | A195940 |
| Business Practice Address: | 4940 Van Nuys Blvd Suite 303 Sherman Oaks, CA - 914031700 |
| Business Phone Number: | 8187853111 |
| Business Fax Number: | 8187804645 |
| Mailing Address: | 4940 Van Nuys Blvd, Suite 303 SHERMAN OAKS |
| State: | CA |
| Postal Code: | 914031700 |
| Phone Number: | 8187853111 |
| Fax Number: | 8187804645 |
| NPI Enumeration Date: | 11/02/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | A195940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |