Individual
AILEEN LENITA PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD RM 8211, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3277
Mailing address
8700 BEVERLY BLVD RM 8211, WEST HOLLYWOOD, CA 90048-1804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P26499
MD
Other
Enumeration date
05/31/2011
Last updated
01/15/2020
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