Individual
MR. ALEX ING FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5522 GRACEWOOD AVE, ARCADIA, CA 91007-8409
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 7410882, CHICAGO, IL 60674-0884
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA62342
CA
Other
Enumeration date
01/23/2023
Last updated
10/31/2025
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