NPI

Vivian Pan

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2007-05-10
Last updated
2007-07-08

Specialties

Licenses

License CA
AC5193

Location

Practice location
10816 Oak Mountain Pl
City
Shadow Hills CA
Postal code
91040-1269
Phone
(818) 621-7680

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Shadow Hills, CA. 13 records in the public file.

Removal request

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