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Individual

DR. RAYMOND FANG

Active
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Individual

DR. RAYMOND FANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A63985
CA
2086S0102X
Surgical Critical Care Physician
A63985
CA
2086S0102X
Surgical Critical Care Physician
Primary
D72565
MD

Other

Enumeration date
11/17/2005
Last updated
04/05/2023
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