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Contact Information

JIAN M FAN, MD , MS OF TCM
5030 CAMINO DE LA SIESTA
SUITE 408
SAN DIEGO, CA92108-3116
 Phone: 619-542-1070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JIAN M FAN · (Male)

NPI Number 1205115532
Status Active
Credentials MD , MS OF TCM
Entity Individual
Enumeration date 08/04/2011
Last updated 08/04/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # AC4519
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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