| Doctor Name: | DR. PEJMAN FANI |
| NPI Number: | 1487085841 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A13052 |
| Business Practice Address: | 317 N El Camino Real Ste 201 Encinitas, CA - 920242813 |
| Business Phone Number: | 7605666841 |
| Business Fax Number: | |
| Mailing Address: | Po Box 910252, SAN DIEGO |
| State: | CA |
| Postal Code: | 921910252 |
| Phone Number: | 7145854843 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2013 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A13052 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |