Fan, Fang

Fan, Fang is an individual health care provider with primary practice located at 1500 Duarte Rd , Duarte CA 91010-3012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Fan, Fang can be contacted via phone (626) 256-4673.

Contact Information

Primary practice address
1500 Duarte Rd Duarte CA 91010-3012
Phone: (626) 256-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01-28862 Kansas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C170975 California

Profile Details

NPI number 1316058415
LBN Legal business name Fan, Fang
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 4th, 2021 - about 3 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 1316058415 NPPES
Missouri MEDICAID 205840705
Missouri Other 31139011
Missouri MEDICAID 100421410A
Missouri Other 431580

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