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

Vivian Fan

Individual provider Family Nurse Practitioner · NPI 1972323558

Vivian Fan is a Family Nurse Practitioner in San Marino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1437 San Marino Ave
San Marino, CA 91108-2027
Phone: (626) 793-7922
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95030461 (CA)

Record details

NPI number1972323558
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address1132 S 3rd St, Alhambra, CA 91801-4723

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