Vivian Fan
NPI #1972323558 in San Marino, California
Provider Information
- NPI Number
- 1972323558
- Entity Type
- Individual
- Name
- Vivian Fan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 16, 2024
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 1437 SAN MARINO AVE
- City
- San Marino
- State
- California
- ZIP Code
- 91108-2027
- Phone
- (626) 793-7922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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