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

MS. Justine Fan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861747222

MS. Justine Fan is a Student in an Organized Health Care Education/Training Program in Fremont, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

39155 Liberty St Ste E500
Fremont, CA 94538-1513
Phone: (510) 574-2114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1861747222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2012
Last updated in NPPESJuly 24, 2013
Mailing address23 Woodhill Dr, Redwood City, CA 94061

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