Pan, Vivien L

Pan, Vivien L is an individual health care provider with primary practice located at 27800 Medical Center Rd Ste 100, Mission Viejo CA 92691-6410. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Pan, Vivien L can be contacted via phone (949) 364-4428.

Contact Information

Primary practice address
27800 Medical Center Rd Ste 100 Mission Viejo CA 92691-6410
Phone: (949) 364-4428
Fax: (949) 364-4230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X A71280 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A71280 California

Profile Details

NPI number 1902903164
LBN Legal business name Pan, Vivien L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 15th, 2019 - 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 1902903164 NPPES
California MEDICAID 00A712800
California Other A71280

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