Individual
HORNG D FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2648 INTERNATIONAL BLVD, STE 501, OAKLAND, CA 94601-1506
(510) 533-8488
(510) 533-8402
Mailing address
2648 INTERNATIONAL BLVD, STE 501, OAKLAND, CA 94601-1506
(510) 533-8488
(510) 533-8402
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A33901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A339010
—
CA
Enumeration date
11/01/2006
Last updated
07/08/2007
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