Organization
LARRY K. FAN, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY FAN M.D. (PRESIDENT)
(415) 655-7546
Entity
Organization
Contact information
Practice address
77 VAN NESS AVE, SUITE 302, SAN FRANCISCO, CA 94102-6041
(415) 655-7546
(415) 379-9045
Mailing address
77 VAN NESS AVE, SUITE 302, SAN FRANCISCO, CA 94102-6041
(415) 655-7546
(415) 379-9045
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A73816
CA
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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