Individual
BUNCHEN FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4124 ROSEMEAD BLVD, #A, ROSEMEAD, CA 91770-4400
(626) 285-2477
(626) 285-1003
Mailing address
4124 ROSEMEAD BLVD, #A, ROSEMEAD, CA 91770-4400
(626) 285-2477
(626) 285-1003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A43151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A431511
—
CA
Enumeration date
08/10/2005
Last updated
12/15/2011
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