Individual
ASHLEY FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 267-1417
Mailing address
12222 WILSHIRE BLVD PH 12, LOS ANGELES, CA 90025-1175
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
82072
CA
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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