RICHARD D FAN

LAGUNA HILLS, CA
NPI1801963673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA14813)
Enumeration Date2006-11-29
Last Update Date2023-06-22
Business Address
RICHARD D FAN PA
23041 AVENIDA DE LA CARLOTA FL 4
LAGUNA HILLS, CA 92653-1511
Phone number: 949-460-6637
Mailing Address
RICHARD D FAN PA
23041 AVENIDA DE LA CARLOTA FL 4
LAGUNA HILLS, CA 92653-1511
Phone number: 949-460-6637
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