Individual
EMILY FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 CLUB DR, VALLEJO, CA 94592-1187
(707) 638-5200
Mailing address
3401 AERO JET AVE, EL MONTE, CA 91731-2801
(626) 286-8700
(626) 286-8650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/16/2026
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