Individual
LILLIAN Y PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
300 HOSPITAL DR, VALLEJO, CA 94589-2574
(707) 554-5210
Mailing address
PO BOX 1159, ARCADIA, CA 91077-1159
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A10736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10736
MEDICAL LICENSE
CA
Enumeration date
06/21/2007
Last updated
07/11/2013
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