Fan, Bunchen

Fan, Bunchen is an sole proprietor health care provider with primary practice located at 4124 Rosemead Blvd #A, Rosemead CA 91770-4400. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fan, Bunchen can be contacted via phone (626) 285-2477.

Contact Information

Primary practice address
4124 Rosemead Blvd #A Rosemead CA 91770-4400
Phone: (626) 285-2477
Fax: (626) 285-1003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A43151 California

Profile Details

NPI number 1588665657
LBN Legal business name Fan, Bunchen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Dec 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588665657 NPPES
California MEDICAID A431511

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