Individual
DR. MICHAEL SHAOYI FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11480 BROOKSHIRE AVE, STE 302, DOWNEY, CA 90241-5024
(626) 337-2265
(626) 337-6625
Mailing address
3129 S HACIENDA BLVD, STE 159, HACIENDA HEIGHTS, CA 91745-6304
(626) 262-3317
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
222907
NY
207RN0300X
Nephrology Physician
Primary
A88548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A885480
—
CA
Enumeration date
08/01/2006
Last updated
10/01/2018
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