# KOK H CHAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255652384
- **Authorized official:** KOK H CHAN MD (PRESIDENT)
- **Authorized official phone:** (949) 588-2190

## Contact information

- **Practice address:** 210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
- **Practice address phone:** (626) 331-7331
- **Practice address fax:** (626) 858-9584
- **Mailing address:** 5 HOLLAND STE 101, IRVINE, CA 92618-2568
- **Mailing address phone:** (949) 588-2190
- **Mailing address fax:** (949) 588-2199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A31474 | CA | Yes |

## Other

- **Enumeration date:** 06/11/2010
- **Last updated:** 06/11/2010