Fang, John P

Fang, John P is an individual health care provider with primary practice located at 3085 Loma Vista Rd , Ventura CA 93003-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fang, John P can be contacted via phone (805) 648-3085.

Contact Information

Primary practice address
3085 Loma Vista Rd Ventura CA 93003-2916
Fax: (805) 648-7027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C54802 California

Profile Details

NPI number 1467461574
LBN Legal business name Fang, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Dec 16th, 2020 - about 5 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 1467461574 NPPES
California Other C54802 CA MEDICAL LICENSE
California MEDICAID 200090320A CA MEDICAL LICENSE

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