Individual provider · Type 1 NPI

Peng Thim Fan, MD

Specialist · North Hollywood, CA

NPI number 1104801463 Active

Practice location

12660 Riverside Dr
North Hollywood, CA 91607-3430

Fax (818) 980-7330

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA24800 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104801463

Peng Thim Fan, MD's National Provider Identifier is 1104801463, issued on Dec 9, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in North Hollywood, CA. The record was last updated on Sep 26, 2011.