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1003987918
MICHAEL S. FAN
LOS ANGELES, CA
NPI
1003987918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G55420)
Enumeration Date
2006-11-13
Last Update Date
2008-09-23
Business Address
MICHAEL S. FAN MD
4733 W SUNSET BLVD
LOS ANGELES, CA 90027-6021
Phone number: 323-783-4011
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Mailing Address
MICHAEL S. FAN MD
4733 W SUNSET BLVD
LOS ANGELES, CA 90027-6021
Phone number: 323-783-4011
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