Individual
JOHN CHIEN YU PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 HARRISON ST, SAN FRANCISCO, CA 94107-1235
(415) 836-1700
(415) 836-1737
Mailing address
760 HARRISON ST, SAN FRANCISCO, CA 94107-1235
(415) 836-1700
(415) 836-1737
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91776566A95045
—
CA
Enumeration date
01/09/2018
Last updated
01/09/2018
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