Xuemo Fan M.D.

NPI 1518960251 - Specialist - 174400000X

NPI Details
NPI 1518960251
Gender Male
Enumeration Date 05/25/2005
Last Updated 07/23/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
8700 BEVERLY BLVD
RM 8725
WEST HOLLYWOOD CA, 90048-1804, US
Phone (310) 423-6627
Fax (310) 423-0170
Business Location
31255 CEDAR VALLEY DR
STE 324
WESTLAKE VILLAGE CA, 91362-7129, US
Phone (818) 338-8103
Fax (818) 338-8119
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A79042
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According to our database, Xuemo Fan M.D. NPI is 1518960251, taxonomy code is 174400000X and license number is A79042, license state is located at California. Xuemo Fan M.D. physically located at 8700 Beverly Blvd, West Hollywood CA, 90048-1804. NPI Number Xuemo Fan M.D. has the Individual type.

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1518960251 NPI number is provided on an as is basis without warranty of any kind. 1518960251 is maintained by the National Plan & Provider Enumeration System. The contents of Xuemo Fan M.D. are for informational purposes only.