Jo Lieberman Pan, MD Valid NPI
Individual provider · Family Medicine Physician · Fountain Valley, CA
- NPI
- 1598756090
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- A77902 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-11-02
- Last updated
- 2026-04-07
Practice location
16333 Harbor Blvd
Fountain Valley, CA 92708-1311
(714) 549-1300