Individual
DR. AMELIA MURTI FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5059 YORK BLVD, MS#68, LOS ANGELES, CA 90042-1713
(323) 344-4144
(323) 344-4146
Mailing address
801 S CHEVY CHASE DR, #20, GLENDALE, CA 91205-4431
(323) 344-4144
(323) 344-4146
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A103199
CA
Other
Enumeration date
04/02/2008
Last updated
06/17/2010
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