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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VIVIAN FAN

Active Sole Proprietor

VIVIAN FAN is a Family Nurse Practitioner healthcare provider located in SAN MARINO, California. NPI 1972323558 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SAN MARINO, CA

Registration Details

NPI Number
1972323558
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2024 (1.8197497301638 yrs)
Last Updated
Oct 16, 2024
License
95030461 (CA)
Sole Proprietor
Yes

Practice Information

Address
1437 SAN MARINO AVE
SAN MARINO, CA, 911082027
Browse CA providers · Browse ZIP 91108
Phone
6267937922
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in SAN MARINO, CA

Name Credential NPI
TERESA AVENDANO TOSTADO NP 1922443373
JENNIFER OH NP 1578968913
CODY ZHOU FNP 1881422137
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.