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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588665657 | NPPES |
| California | MEDICAID | A431511 |
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