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JUDITH FAN M.S.
NPI 1720340714
Genetic Counselor, MS in Los Angeles, CA

Active since June 14, 2012
10833 LE CONTE AVE STE 12-159, LOS ANGELES, CA 90095(310) 206-6516 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2020, Mar 29, 2016 (2 updates tracked since 2016).

About Judith Fan M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH FAN M.S. (NPI 1720340714) is an individual genetic counselor, ms provider in Los Angeles, California, licensed in California (GC000794) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1720340714
Entity TypeIndividualFemale
Primary Taxonomy170300000X
Provider Legal NameJUDITH FANCredential: M.S.
Location Address10833 LE CONTE AVE STE 12-159Los Angeles, CA 90095-7701
Mailing Address1935 Medical District DrDallas, TX 75235-7701 · (214) 456-6533
Phone(310) 206-6516
Sole ProprietorNo
Enumeration DateJune 14, 2012
Last NPPES UpdateApril 22, 20202 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1720340714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
License✔ Licensed in CA · GC000794
Definition
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
10833 LE CONTE AVE STE 12-159, Los Angeles, CA 90095
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALYSSA ASHLEY HOOVER MS
Genetic Counselor, MS
10833 LE CONTE AVE STE 12-159
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Fan's NPI number?

The NPI number for Judith Fan is 1720340714. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Judith Fan located?

Judith Fan practices at 10833 Le Conte Ave Ste 12-159, Los Angeles, CA 90095. The listed phone number is (310) 206-6516.

What is Judith Fan's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Judith Fan was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.