Mark Shiaoyi Fan
ActiveCalifornia license A112478
License
- Licensed by
- Medical Board of California
- License number
- A112478
- Status
- Active (Current)
- First issued
- May 21, 2010
- Expires
- October 31, 2027
- License holder
- Mark Shiaoyi Fan
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
18321 Clark St
Tarzana, CA 91356-3501
Tarzana, CA 91356-3501
Los Angeles County