Individual
MICHAEL PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 N LA CIENEGA BLVD STE 202, BEVERLY HILLS, CA 90211-2285
(310) 385-3300
Mailing address
1356 LUSITANA ST FL 7, HONOLULU, HI 96813-2409
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A161456
CA
Other
Enumeration date
05/05/2015
Last updated
04/28/2023
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