Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAYMOND FAN, DDS
DeactivatedRAYMOND FAN, DDS is a Oral & Maxillofacial Surgery healthcare provider located in CHINO, California. NPI 1962938522 is deactivated in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CHINO, CA
This NPI has been deactivated.
The record was deactivated on June 22, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1962938522
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2017 (1.1397260273973 yrs)
- Last Updated
- Oct 18, 2023
- Deactivated
- Jun 22, 2018
- Licenses
-
DD5682 (NM)DDS104689 (CA)
Practice Information
- Address
-
12860 10TH STCHINO, CA, 917104294Browse CA providers · Browse ZIP 91710
- Phone
- 9095910241
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Student (Health Education/Training)
Other Oral & Maxillofacial Surgery Providers in CHINO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW YONG-JIN LEE | M.D.,D.D.S. | 1396862728 |
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.