Individual
AUSTIN FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(800) 872-2273
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A176863
CA
Other
Enumeration date
03/27/2019
Last updated
09/15/2024
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