Individual
DR. ZHAOYANG PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
652 N BROADWAY # A, LOS ANGELES, CA 90012-2802
(213) 617-7673
(213) 626-2168
Mailing address
652 N BROADWAY # A, LOS ANGELES, CA 90012-2802
(213) 617-7673
(213) 626-2168
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A055081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A550810
—
CA
Enumeration date
12/22/2006
Last updated
07/08/2007
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