Individual
JIANQIU PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 869-6567
(510) 869-6707
Mailing address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3299
(650) 742-2546
(650) 742-3055
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A85232
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A85232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A852320
MEDICAL
CA
Enumeration date
08/21/2006
Last updated
08/19/2022
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