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Organization
PATRICK T. PAN, MD INC
Active
Organization
PATRICK T. PAN, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK PAN MD (PRESIDENT)
(949) 200-7307
Entity
Organization
Contact information
Practice address
351 HOSPITAL RD, SUITE 407, NEWPORT BEACH, CA 92663-3506
(949) 200-7307
(949) 200-7456
Mailing address
351 HOSPITAL RD, SUITE 407, NEWPORT BEACH, CA 92663-3506
(949) 200-7307
(949) 200-7456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A61505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A61505
LICENSE
CA
Enumeration date
02/26/2007
Last updated
05/11/2017
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