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

Gary Fan, MD

Individual provider Anesthesiology Physician · NPI 1063421311

Gary Fan, MD is an Anesthesiology in Los Angeles, California. Qualified in 1984, 42 years ago. Practices with White Memorial Medical Center, a 66-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Licensed in
CA
In the registry since
2006
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

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone: (562) 407-2080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A87120 (CA)

Record details

NPI number1063421311
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice White Memorial Medical Center — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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