Individual
CHUAN-JU GWENDOLYN PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 W LA VETA AVE, SUITE 250, ORANGE, CA 92868-4300
(714) 541-6622
(714) 541-0531
Mailing address
1010 W LA VETA AVE, SUITE 250, ORANGE, CA 92868-4300
(714) 541-6622
(714) 541-0531
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A110998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W12156
PTAN
CA
Enumeration date
06/14/2009
Last updated
12/06/2021
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