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Organization

JOSEPH T. FAN, M.D.INC

Active
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Organization

JOSEPH T. FAN, M.D.INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH T FAN M.D. (OWNER)
(626) 288-2265
Entity
Organization

Contact information

Practice address
500 N GARFIELD AVE STE 209, MONTEREY PARK, CA 91754-1242
(626) 288-2265
(626) 288-3761
Mailing address
500 N GARFIELD AVE STE 209, MONTEREY PARK, CA 91754-1242
(626) 288-2265
(626) 288-3761

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—

Other

Enumeration date
08/17/2007
Last updated
10/31/2009
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