Fan, Peng Thim

Fan, Peng Thim is an individual health care provider with primary practice located at 12660 Riverside Dr , North Hollywood CA 91607-3430. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fan, Peng Thim can be contacted via phone (818) 980-7010.

Contact Information

Primary practice address
12660 Riverside Dr North Hollywood CA 91607-3430
Phone: (818) 980-7010
Fax: (818) 980-7330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A24800 California

Profile Details

NPI number 1104801463
LBN Legal business name Fan, Peng Thim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Sep 26th, 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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