Organization
JOSEPH T. FAN, M.D.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH T FAN M.D. (OWNER)
(626) 288-2265
Entity
Organization
Contact information
Practice address
500 N GARFIELD AVE STE 209, MONTEREY PARK, CA 91754-1242
(626) 288-2265
(626) 288-3761
Mailing address
500 N GARFIELD AVE STE 209, MONTEREY PARK, CA 91754-1242
(626) 288-2265
(626) 288-3761
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F45051
PHYSICIANS' HEALTHWAY
CA
01
—
F45051
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/17/2007
Last updated
10/31/2009
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