Individual
XUEMO FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, RM 8725, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6627
(310) 423-0170
Mailing address
31255 CEDAR VALLEY DR, STE 324, WESTLAKE VILLAGE, CA 91362-7129
(818) 338-8103
(818) 338-8119
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A79042
CA
Other
Enumeration date
05/25/2005
Last updated
07/23/2015
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