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1902954894
JACOB C. FAN
LOS ANGELES, CA
NPI
1902954894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G17662)
Enumeration Date
2007-01-08
Last Update Date
2007-11-29
Business Address
JACOB C. FAN MD
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
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Mailing Address
JACOB C. FAN MD
393 E WALNUT ST 3RD FLOOR PHR SYSTEMS
PASADENA, CA 91188-0001
Phone number: 000-000-0000
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