Organization
ROBERT S. P. FAN, MD, A PROFESSIONAL CORPORATION
Active
Organization
ROBERT S. P. FAN, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SIMON PETER FAN MD (CEO)
(805) 966-6085
Entity
Organization
Contact information
Practice address
1532 STATE ST, 2ND FLOOR, SANTA BARBARA, CA 93101-2554
(805) 966-6085
(805) 966-6086
Mailing address
1532 STATE ST, 2ND FLOOR, SANTA BARBARA, CA 93101-2554
(805) 966-6085
(805) 966-6086
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G810210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G810210
—
CA
Enumeration date
08/23/2006
Last updated
08/22/2020
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