Individual
ANTHONY GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1940 N ORANGE GROVE AVE STE A, POMONA, CA 91767-3002
(909) 865-6900
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A14345
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20A14345
CA
207RP1001X
Pulmonary Disease Physician
Primary
20A14345
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
05/03/2021
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