Fan, Warren C
Fan, Warren C is an sole proprietor health care provider with primary practice located at 637 North 13Th Avenue , Upland CA 91786. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Fan, Warren C can be contacted via phone (909) 946-4106.Contact Information
Primary practice address
637 North 13Th Avenue
Upland CA 91786
Phone: (909) 946-4106
Fax: (909) 949-4366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | A32805 | California |
Profile Details
| NPI number | 1245260538 |
|---|---|
| LBN Legal business name | Fan, Warren C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245260538 | NPPES |
| California | MEDICAID | 00A328050 |
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