Individual provider · Type 1 NPI
Kenneth Fan, DO
Obstetrics & Gynecology Physician · Los Angeles, CA
Practice location
1245 Wilshire Blvd Ste 605
Los Angeles, CA 90017-4806
Fax (213) 294-2165
Mailing address
118 N Kings Rd Unit 404
Los Angeles, CA 90048-2673
Other practice locations
- 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 · (213) 977-2121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician Primary | 207V00000X | 294548 (NY) |
Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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About NPI 1801206750
Kenneth Fan, DO's National Provider Identifier is 1801206750, issued on Apr 30, 2014. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 2, 2026.