Individual provider · Type 1 NPI

Charese M. Fannin, PA

Medical Physician Assistant · Lynwood, CA

NPI number 1770517799 Active

Practice location

3630 East Imperial Highway
Lynwood, CA 90262-2678

Mailing address

PO Box 12110
Westminster, CA 92685-2110

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA12007 (CA)

Medical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1770517799

Charese M. Fannin, PA's National Provider Identifier is 1770517799, issued on Jul 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lynwood, CA. The record was last updated on May 6, 2015.