Gary Fan MD

NPI 1063421311 - Anesthesiology - 207L00000X

NPI Details
NPI 1063421311
Gender Male
Enumeration Date 08/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1720 E CESAR E CHAVEZ AVE
LOS ANGELES CA, 90033-2414, US
Phone (562) 407-2080
Fax
Business Location
PO BOX 4259
CERRITOS CA, 90703-4259, US
Phone (562) 407-2080
Fax
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number A87120
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According to our database, Gary Fan MD NPI is 1063421311, taxonomy code is 207L00000X and license number is A87120, license state is located at California. Gary Fan MD physically located at 1720 E Cesar E Chavez Ave, Los Angeles CA, 90033-2414. NPI Number Gary Fan MD has the Individual type.

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1063421311 NPI number is provided on an as is basis without warranty of any kind. 1063421311 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Fan MD are for informational purposes only.