Tan, Fang
Tan, Fang is an individual health care provider with primary practice located at 1895 Mowry Ave Suite 101, Fremont CA 94538-1737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Tan, Fang can be contacted via phone (510) 793-2800.Contact Information
Primary practice address
1895 Mowry Ave Suite 101
Fremont CA 94538-1737
Phone: (510) 793-2800
Fax: (510) 793-2882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A81026 | California |
Profile Details
| NPI number | 1811997646 |
|---|---|
| LBN Legal business name | Tan, Fang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jan 7th, 2008 - about 18 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 | 1811997646 | NPPES |
| California | MEDICAID | 00A810260 |
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