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1619596152
DAVID FAN
LA JOLLA, CA
NPI
1619596152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL F500-1799-2352)
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
DAVID FAN
10666 N TORREY PINES RD
LA JOLLA, CA 92037-1027
Phone number: 858-554-3200
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Mailing Address
DAVID FAN
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-554-3200
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