Fan, Richard D

Fan, Richard D is an individual health care provider with primary practice located at 23041 Avenida De La Carlota Fl 4 , Laguna Hills CA 92653-1511. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fan, Richard D can be contacted via phone (949) 460-6637.

Contact Information

Primary practice address
23041 Avenida De La Carlota Fl 4 Laguna Hills CA 92653-1511
Phone: (949) 460-6637
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14813 California

Profile Details

NPI number 1801963673
LBN Legal business name Fan, Richard D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jun 22nd, 2023 - about last year

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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