Individual
CARY FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20700 AVALON BLVD STE 750, T-2026, CARSON, CA 90746-3724
(310) 819-3012
(310) 819-3012
Mailing address
20700 AVALON BLVD STE 750, T-2026, CARSON, CA 90746-3724
(310) 819-3012
(310) 819-3012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54115
CA
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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