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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A24800 (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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Other specialist providers in North Hollywood
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- Dna S. Moore, PTSpecialist North Hollywood, CA NPI 1144548256
- Priyanka Raikar, OTR/LSpecialist North Hollywood, CA NPI 1154553733
- Nathan Hochgesang, OTR/LSpecialist North Hollywood, CA NPI 1154622983
- Michelle ClarkeSpecialist North Hollywood, CA NPI 1245765791
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.