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Individual

VIVIEN L PAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
27800 MEDICAL CENTER RD, STE 100, MISSION VIEJO, CA 92691-6410
(949) 364-4428
(949) 364-4230
Mailing address
PO BOX 29482, SAINT LOUIS, MO 63126-7482

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
A71280
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A71280
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A712800
CA
01
A71280
STATE LICENSE
CA
Enumeration date
09/20/2006
Last updated
10/30/2025
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