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1063421311
GARY FAN
LOS ANGELES, CA
NPI
1063421311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA A87120)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
-- GARY FAN MD
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033-2414
Phone number: 562-407-2080
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Mailing Address
-- GARY FAN MD
PO BOX 4259
CERRITOS, CA 90703-4259
Phone number: 562-407-2080
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