Fang, Lichuan

Fang, Lichuan is an individual health care provider with primary practice located at 6344 Topanga Canyon Blvd Ste 2040 , Woodland Hills CA 91367-2362. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fang, Lichuan can be contacted via phone (818) 610-0292.

Contact Information

Primary practice address
6344 Topanga Canyon Blvd Ste 2040 Woodland Hills CA 91367-2362
Phone: (818) 610-0292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A55474 California

Profile Details

NPI number 1508895004
LBN Legal business name Fang, Lichuan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jan 14th, 2021 - 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 1508895004 NPPES
California MEDICAID GR0071940

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