Individual
DAVID FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 PALM AVE, SAN DIEGO, CA 92154-8404
(800) 290-5000
Mailing address
4650 PALM AVE, SAN DIEGO, CA 92154-8404
(800) 290-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A140367
CA
Other
Enumeration date
06/26/2013
Last updated
11/09/2021
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