Fan, Dali

Fan, Dali is an sole proprietor health care provider with primary practice located at 4860 Y St Ste 2820 , Sacramento CA 95817-2307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fan, Dali can be contacted via phone (916) 734-5191.

Contact Information

Primary practice address
4860 Y St Ste 2820 Sacramento CA 95817-2307
Phone: (916) 734-5191
Fax: (916) 734-8394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 216542 New York

Profile Details

NPI number 1245289545
LBN Legal business name Fan, Dali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2006
Last updated Oct 28th, 2011 - about 13 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 1245289545 NPPES
New York MEDICAID 02553322

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