Doctor profile · Federal record
Dr. Jennie Fan, OD
Optometrist · Los Angeles, CA
- NPI 1801093570
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1300 N Vermont Ave, Doctor's Tower, Suite 101
Los Angeles, CA 900276005
(323) 667-2102 - Mailing address
-
28281 Somerset
Mission Viejo, CA 926922889
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- California #13246
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1801093570. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$203
Transactions
10
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CooperVision INC. | 8 | $168.27 | |
| Bausch & Lomb Americas INC. | 2 | $34.61 |
By nature of payment
Frequently asked questions
What is Dr. Jennie Fan's medical specialty?
Dr. Jennie Fan practices Optometrist in Los Angeles, CA.
Where does Dr. Jennie Fan practice?
Dr. Jennie Fan practices at 1300 N Vermont Ave, Los Angeles, CA 900276005. Office phone: 3236672102.
What is Dr. Jennie Fan's NPI?
Dr. Jennie Fan's National Provider Identifier (NPI) is 1801093570, issued by NPPES.