Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peng Thim Fan, MD

Individual provider Specialist · NPI 1104801463

Dr. Peng Thim Fan, MD is a Specialist in North Hollywood, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12660 Riverside Dr
North Hollywood, CA 91607-3430
Phone: (818) 980-7010
Fax: (818) 980-7330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A24800 (CA)

Record details

NPI number1104801463
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 9, 2005
Last updated in NPPESSeptember 26, 2011

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