Individual provider · Type 1 NPI
Katherine W. Fan, MD
Child & Adolescent Psychiatry Physician · Cupertino, CA
NPI number
1720283294
Active
Practice location
20380 Town Center Ln Ste 215
Cupertino, CA 95014-3250
Mailing address
4688 La Crescent Loop
San Jose, CA 95136-2685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | MD429247 (PA) |
| Psychiatry Physician | 2084P0800X | MD429247 (PA) |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD429247 (PA) |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | A104114 (CA) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Other child & adolescent psychiatry physician providers in Cupertino
About NPI 1720283294
Katherine W. Fan, MD's National Provider Identifier is 1720283294, issued on Jun 15, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Cupertino, CA. The record was last updated on Feb 25, 2010.