Fan, Gary
Fan, Gary is an sole proprietor health care provider with primary practice located at 1720 E Cesar E Chavez Ave , Los Angeles CA 90033-2414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fan, Gary can be contacted via phone (562) 407-2080.Contact Information
Primary practice address
1720 E Cesar E Chavez Ave
Los Angeles CA 90033-2414
Phone: (562) 407-2080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A87120 | California |
Profile Details
| NPI number | 1063421311 |
|---|---|
| LBN Legal business name | Fan, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1063421311 | NPPES |
| California | MEDICAID | 00A87120 |
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