Jacob C. Fan
MD | Pediatrics | Male
Jacob C. Fan, MD is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jacob C. Fan is
6041 Cadillac Ave, Los Angeles, California - 90034-1702. He can be contacted on phone at
323-857-2000.
Jacob C. Fan is a sole proprietor of his business.
NPI number (Unique professional ID) for Jacob C. Fan is
1902954894 which was assigned by NPPES on 08 Jan, 2007 and it was last updated on 29 Nov, 2007.
Jacob C. Fan license number is
G17662 for Pediatrics (208000000X) in California.
Jacob C. Fan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jacob C. Fan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jacob C. Fan |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Jacob C. Fan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6041 Cadillac Ave
Los Angeles, CA, 90034-1702
United States |
|---|
| Phone Number : | 323-857-2000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902954894 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 08 Jan, 2007 |
|---|
| Last Updated On : | 29 Nov, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob C. Fan are as mentioned. Primary taxonomy code for Jacob C. Fan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G17662 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jacob C. Fan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G176620 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 393 E Walnut St, 3rd Floor Phr Systems
Pasadena, CA, 91188-0001
United States |
|---|
| Phone Number : | 000-000-0000 |
|---|
| Fax Number : | 000-000-0000 |
|---|
Business Location:
Patients can refer following map for directions to
Jacob C. Fan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.