Individual
MEIKA ANN FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #214,365,530,420,120, LOS ANGELES, CA 90095
(310) 825-0631
Mailing address
5767 W. CENTURY BLVD, #400, LOS ANGELES, CA 90045-5655
(310) 268-4657
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G53684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G536840
—
CA
Enumeration date
07/12/2006
Last updated
06/14/2010
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