Peng Thim Fan is a Specialist in North Hollywood, California. Peng Thim Fan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peng Thim Fan is 1104801463. The last update date is 2011-09-26.
Peng Thim Fan's current location address is 12660 Riverside Dr, North Hollywood, California. You can contact this provider via phone number 8189807010 and fax number 8189807330. The mailing address for Peng Thim Fan is 12660 Riverside Dr, North Hollywood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peng Thim Fan |
|---|---|
| Address | 12660 Riverside Dr, North Hollywood, California |
| Phone Number | 8189807010 |
| Fax Number | 8189807330 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104801463 |
|---|---|
| Provider Enumeration Date | 2005-12-09 |
| Last Updated Date | 2011-09-26 |
Provider Mailing Address Detail
| Address | 12660 Riverside Dr |
|---|---|
| City | North Hollywood |
| State | California (CA) |
| Post Code | 916073430 |
| Phone Number | 8189807010 |
| Fax Number | 8189807330 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A24800 |
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Definition: 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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Post Comment/ Review Below
What is the unique identifier code issued to Peng Thim Fan by the Centers for Medicare & Medicaid Services (CMS)?
The Peng Thim Fan has been assigned the NPI (National Provider Identifier) 1104801463. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Peng Thim Fan is geographically located?
The Peng Thim Fan is physically situated at the following location: 12660 Riverside Dr, North Hollywood, CA, 916073430.
What is Peng Thim Fan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Peng Thim Fan's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When was the Peng Thim Fan's 1104801463 issued?
The Peng Thim Fan's 1104801463 was issued on 2005-12-09.
As of what date was the information pertaining to Peng Thim Fan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Peng Thim Fan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-09-26.