Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PENG THIM FAN, M.D.
ActiveDR. PENG THIM FAN, M.D. is a Specialist healthcare provider located in NORTH HOLLYWOOD, California. NPI 1104801463 is currently active in the NPPES registry. Verify at CMS.
Specialist · NORTH HOLLYWOOD, CA
Registration Details
- NPI Number
- 1104801463
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2005 (20.66607709994 yrs)
- Last Updated
- Sep 26, 2011
- License
-
A24800 (CA)
Practice Information
- Address
-
12660 RIVERSIDE DRNORTH HOLLYWOOD, CA, 916073430Browse CA providers · Browse ZIP 91607
- Phone
- 8189807010
- Fax
- 8189807330
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in NORTH HOLLYWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| SEAN JOSEPH WOLLASTON | M.D. | 1316921075 |
| DR. WONIL LEE | M.D. | 1992780225 |
| MR. JAMES W DRYDEN | CPO | 1760537120 |
| MRS. REJIELYN CERDENIO | OTR/L | 1902136633 |
| TAMARA SEIGEL | OT | 1265763692 |
| ANTHONY MAXIMO | OT | 1548591985 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.