# CHAN FAMILY MEDICAL CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Shiny Star Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104470384
- **Authorized official:** EMMELINE CHAN M.D (VICE PRESIDENT)
- **Authorized official phone:** (323) 685-2070

## Contact information

- **Practice address:** 4070 E. OLYMPIC BLVD, LOS ANGELES, CA 90023
- **Practice address phone:** (323) 685-2070
- **Practice address fax:** (323) 685-2077
- **Mailing address:** 4070 E. OLYMPIC BLVD, LOS ANGELES, CA 90023
- **Mailing address phone:** (323) 685-2070
- **Mailing address fax:** (323) 685-2077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2019
- **Last updated:** 07/26/2019