Vivien L Pan
M.D. | Pediatric Neonatal-Perinatal Medicine | Female
Vivien L Pan, M.D. is a Mission Viejo, California based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Vivien L Pan is
27800 Medical Center Rd, Ste 100, Mission Viejo, California - 92691-6410. She can be contacted on phone at
949-364-4428 and fax number 949-364-4230.
Vivien L Pan is a sole proprietor of her business.
NPI number (Unique professional ID) for Vivien L Pan is
1902903164 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 15 Aug, 2019.
Vivien L Pan license number is
A71280 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in California.
Vivien L Pan is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Vivien L Pan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Vivien L Pan |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Vivien L Pan 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 : | 27800 Medical Center Rd, Ste 100
Mission Viejo, CA, 92691-6410
United States |
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| Phone Number : | 949-364-4428 |
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| Fax Number : | 949-364-4230 |
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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 : | 1902903164 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 15 Aug, 2019 |
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Medicare Participation:
Vivien L Pan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1759295108 |
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| Medicare Enrollment ID : | I20031118001141 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | R Franklin University Of Med & Sci/chicago Medical School |
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| Graduation Year : | 1996 |
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| Accepts Medicare? | Yes. Vivien L Pan accepts medicare insurance. |
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Group Practice Association:
Vivien L Pan is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Vivien L Pan is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| | | 27800 Medical Ctr Rd
Suite 100
Mission Viejo, CA - 926916407
Ph: 9493644228 | May accept |
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 Vivien L Pan are as mentioned. Primary taxonomy code for Vivien L Pan, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207VM0101X | Obstetrics & Gynecology Maternal & Fetal Medicine | No | A71280 | CA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | A71280 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Vivien L Pan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00A712800 | MEDICAID | CA | |
| A71280 | Other | CA | STATE LICENSE |
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 : | Po Box 29482
Saint Louis, MO, 63126-7482
United States |
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Business Location:
Patients can refer following map for directions to
Vivien L Pan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.