Individual
DAVID FANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12751 HARBOR BLVD, GARDEN GROVE, CA 92840
(888) 499-9303
Mailing address
12751 HARBOR BLVD, GARDEN GROVE, CA 92840-5800
(888) 499-9303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A14926
CA
Other
Enumeration date
03/25/2015
Last updated
07/05/2018
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