Fang Tan Md, Inc.

NPI 1710941091 - Optometrist - 152W00000X

NPI Details
NPI 1710941091
Enumeration Date 04/14/2006
Last Updated 08/19/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FANG FANG
Position CEO
Phone (510) 793-2800
Fax (510) 793-2882
Practice Location
1895 MOWRY AVE
SUITE 101A
FREMONT CA, 94538-1708, US
Phone (510) 793-2800
Fax (510) 793-2882
Business Location
3232 BRUCE DR
FREMONT CA, 94539-5013, US
Phone (510) 793-2800
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 2439825
Remove 1710941091 NPI Number
 

According to our database, Fang Tan Md, Inc. NPI is 1710941091, taxonomy code is 152W00000X and license number is 2439825, license state is located at California. Fang Tan Md, Inc. physically located at 1895 Mowry Ave, Fremont CA, 94538-1708. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1710941091 NPI number is provided on an as is basis without warranty of any kind. 1710941091 is maintained by the National Plan & Provider Enumeration System. The contents of Fang Tan Md, Inc. are for informational purposes only.