Fan, Horng D

Fan, Horng D is an individual health care provider with primary practice located at 2648 International Blvd Ste 501, Oakland CA 94601-1506. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Fan, Horng D can be contacted via phone (510) 533-8488.

Contact Information

Primary practice address
2648 International Blvd Ste 501 Oakland CA 94601-1506
Phone: (510) 533-8488
Fax: (510) 533-8402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A33901 California

Profile Details

NPI number 1386722262
LBN Legal business name Fan, Horng D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1386722262 NPPES
California MEDICAID 00A339010

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