Fan, Joseph T

Fan, Joseph T is an individual health care provider with primary practice located at 500 N Garfield Ave Ste 209 , Monterey Park CA 91754-1242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fan, Joseph T can be contacted via phone (626) 288-2265.

Contact Information

Primary practice address
500 N Garfield Ave Ste 209 Monterey Park CA 91754-1242
Phone: (626) 288-2265
Fax: (626) 288-3761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G82302 California

Profile Details

NPI number 1508881715
LBN Legal business name Fan, Joseph T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 29th, 2020 - about 4 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 1508881715 NPPES
California MEDICAID 00G823020

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