Individual
DANA PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 S SANTA ANITA ST STE P15, SAN GABRIEL, CA 91776-1165
(626) 898-4560
(626) 898-4561
Mailing address
207 S SANTA ANITA ST STE P15, SAN GABRIEL, CA 91776-1165
(626) 898-4560
(626) 898-4561
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
141881
CA
207RI0008X
Hepatology Physician
141881
CA
Other
Enumeration date
05/05/2014
Last updated
08/04/2020
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