Larry K. Fan, M.D. Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A73816 Issued in CA

Legal business name

LARRY K. FAN, M.D. INC.

Practice address

77 Van Ness Ave
Suite 302
San Francisco, CA 94102-6041

Phone

(415) 655-7546

Fax

(415) 379-9045

NPI assigned

Feb 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Larry Fan, M.D.

Title

President

Phone

(415) 655-7546

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1780957431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VAN NESS AVE",
            "address_2": "SUITE 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026041",
            "telephone_number": "415-655-7546",
            "fax_number": "415-379-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VAN NESS AVE",
            "address_2": "SUITE 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026041",
            "telephone_number": "415-655-7546",
            "fax_number": "415-379-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY K. FAN, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-655-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A73816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Laroussi, MD
• Camille Victoria Larracas, DDS
• Luis Alesandro Larrazabal Martinez, MD
• Sophia Susana Larrea
• Chelena Larriva, RNFA
• Patricia Larsen McKenna, CRNA
• Soren Larsen-Ravenfeather
• Amy Larsen, RN, CNS
• Dana M. Larsen, MD
• Sandra Kay Larsen

• Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.