KEVIN Y FAN (NPI# 1629215660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629215660 |
| Entity Type | Individual |
| Full Name | KEVIN Y FAN |
| Credential | DDS |
| Practice Address |
2176 S Atlantic Blvd Monterey Park CA 91754 |
| Mailing Address |
2176 S Atlantic Blvd Monterey Park CA 91754-6839 |
| Practice Telephone | 3238880681 |
| Mailing Telephone | 3238880681 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 57921 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
103408 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
019.028934 | IL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 491 W Longden Ave, Arcadia, CA 910078132 | 6266172255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122622 | Kevin Qinyi Fan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-04-03 |
| Street Address |
2176 S ATLANTIC BLVD |
| City | MONTEREY PARK |
| State | CA |
| Zip Code | 91754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891889291 | Goretti Li Dds Inc. | Dentist | 2176 S Atlantic Blvd, Monterey Park, CA 91754-6839 | 2006-10-03 |
| 1518424746 | K. Fan D.d.s., Inc. | Clinic/Center | 2176 S Atlantic Blvd, Monterey Park, CA 91754-6839 | 2019-02-25 |
| 1639596166 | Goretti Li | Dentist | 2176 S Atlantic Blvd, Monterey Park, CA 91754-6839 | 2014-03-21 |
| 1134279029 | Miranda Li | Dentist | 2176 S Atlantic Blvd, Monterey Park, CA 91754-6839 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023670734 | New Hope Medical Center | Acupuncturist | 939 S Atlantic Blvd, Suit 107, Monterey Park, CA 91754 | 2019-07-02 |
| 1326574302 | Jo Ann Dorothy I | Chiropractor | 257 W. Pomona Blvd, Monterey Park, CA 91754 | 2017-05-11 |
| 1134575517 | Julie Riesz Desmond | Pediatrics | 2000 Longhill Dr., Monterey Park, CA 91754 | 2016-05-04 |
| 1023480902 | Exporter Associates | Durable Medical Equipment & Medical Supplies | 855 W El Repetto Dr Unit 11c, Monterey Park, CA 91754 | 2015-10-30 |
| 1366889784 | Jane Chi Fan, Mft. Inc | Marriage & Family Therapist | 941 S. Atlantic Blvd., Suite 221, Monterey Park, CA 91754 | 2013-05-24 |
| 1740597574 | Stephen Wesley Pope | Contractor | 3800 Concours, Suite 350, Ontario, CA 91754 | 2010-08-31 |
| 1447573324 | Sok-yin Leung | Pediatrics | 748 Rodman Circle, Monterey Park, CA 91754 | 2010-03-08 |
| 1568601151 | Jenny Pei Liu, D.d.s., Inc. | Dentist | 2071 S. Altantic Blvd., #f&g, Monterey Park, CA 91754 | 2009-02-05 |
| 1609027770 | Cali Ho | Occupational Therapist | 600 N. Garfield Ave., Monterey Park, CA 91754 | 2008-10-07 |
| 1588812358 | Eric A Garcia | Dentist | 1900 So Atlantic Blvd, Suite 1, Monterey Park, CA 91754 | 2008-09-04 |
| Find all providers in zip 91754 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336656552 | Byran Chen Dds, Inc | Dentist | 300 S Atlantic Blvd Ste 102, Monterey Park, CA 91754-3285 | 2018-01-09 |
| 1912322181 | Gary Luu | Dentist | 1101 E Garvey Ave Ste 106, Monterey Park, CA 91755-3054 | 2014-02-25 |
| 1821351644 | Steven K. Lee. D.d.s. Inc. | Dentist | 823 S. Atlantic Blvd., Suite 7, Monterey Park, CA 91754-4721 | 2012-06-18 |
| 1336411339 | Andrew Li Chen | Dentist | 125 E Emerson Ave Apt B, Monterey Park, CA 91755-1743 | 2012-02-06 |
| 1417276296 | Chen Tsung Chang | Dentist | 300 S Garfield Ave # 203, Monterey Park, CA 91754-3336 | 2010-05-19 |
| 1548493869 | Xiao-mei Cui | Dentist | 111 N Atlantic Blvd Ste 246, Monterey Park, CA 91754-1579 | 2009-09-02 |
| 1104057983 | Jessica Yen-ping Su | Dentist | 421 E Graves Ave Apt B, Monterey Park, CA 91755-4151 | 2009-07-28 |
| 1801035381 | Antranig Gary Kelleyan Dds Inc. | Dentist | 616 N Garfield Ave Ste 404, Monterey Park, CA 91754-1101 | 2009-02-06 |
| 1568601151 | Jenny Pei Liu, D.d.s., Inc. | Dentist | 2071 S. Altantic Blvd., #f&g, Monterey Park, CA 91754 | 2009-02-05 |
| 1629221999 | Kevin Scott Sekiguchi | Dentist | 823 S Atlantic Blvd Ste 1, Monterey Park, CA 91754-4721 | 2008-10-29 |
| Find all providers in MONTEREY PARK | ||||
| City | MONTEREY PARK |
| Zip Code | 91754 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.