Jacob C. Fan MD

  • 1902954894 NPI Number
  • |
  • Actived: 13 years ago
  • |
According to our database, the NPI number for Jacob C. Fan MD is 1902954894 and activated since 13 years ago. Jacob C. Fan MD is an individual provider who specializes in Pediatrics, and the primary practice location is 6041 Cadillac Ave, Los Angeles, CA 90034. You can also contact Jacob C. Fan MD via telephone number is (323) 857-2000. Provider NPI information was last updated on 11/29/2007.

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Overview of Jacob C. Fan MD

  • NPI number: 1063046621
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/08/2007
  • Last updated: 11/29/2007

Primary Scrop of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: G17662
  • License State: CA

Provider Mailing Address

  • Address: 393 E Walnut St
    3rd Floor Phr Systems
    Pasadena, CA 91188
  • Phone: 000-000-0000
  • Fax: 000-000-0000

Provider Practice Location

  • Address: 6041 Cadillac Ave
    Los Angeles, CA 90034
  • Phone: 323-857-2000
  • Fax:

Scope of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: G17662
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00G176620
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jacob C. Fan MD?
  • A: The npi number for Jacob C. Fan MD is 1902954894.
  • Q: What are Jacob C. Fan MD's specialties?
  • A: Jacob C. Fan MD's specialties are Pediatrics and different specialities.
  • Q: What is the medical license for Jacob C. Fan MD?
  • A: The medical license number for Jacob C. Fan MD is G17662 and issued in CA in USA.
  • Q: Where is Jacob C. Fan MD practice location?
  • A: Jacob C. Fan MD is practicing at 6041 Cadillac Ave, Los Angeles, CA 90034.
  • Q: How to contact Jacob C. Fan MD?
  • A: You can contact Jacob C. Fan MD via 323-857-2000.