Pan, Jenny S

Pan, Jenny S is an individual health care provider with primary practice located at 1045 Atlantic Ave Suite 605, Long Beach CA 90813-3408. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Pan, Jenny S can be contacted via phone (562) 901-6767.

Contact Information

Primary practice address
1045 Atlantic Ave Suite 605 Long Beach CA 90813-3408
Phone: (562) 901-6767
Fax: (562) 901-6777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A43079 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A43079 California

Profile Details

NPI number 1760550420
LBN Legal business name Pan, Jenny S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Nov 9th, 2012 - about 14 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 1760550420 NPPES
California MEDICAID 00A430790

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