Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE FAN
Active Sole ProprietorJACKIE FAN is a Physical Therapy Assistant healthcare provider located in LA PALMA, California. NPI 1326791815 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LA PALMA, CA
Registration Details
- NPI Number
- 1326791815
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2022 (4.3434095943768 yrs)
- Last Updated
- Jun 3, 2023
- License
-
301637 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7901 WALKER STLA PALMA, CA, 906231722Browse CA providers · Browse ZIP 90623
- Phone
- 7146706000
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LA PALMA, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. GODAFREDA DELA CRUZ POSADAS | PT | 1437255114 |
| MARY K. CALLAWAY | P.T. | 1144352188 |
| NATHAN MERTICK | PT, DPT | 1679983761 |
| RICHARD DANO | — | 1609264183 |
| RYAN WHYTE | DPT, OTR/L, ATC | 1992187827 |
| MELANIE PAMINTUAN | MPT | 1295100170 |
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.