Individual
ABRAHAM PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
4189 TRENT WAY, LOS ANGELES, CA 90065-3806
(201) 247-1291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW-132630
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2023
Last updated
08/08/2025
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