# ALLEN K. CHAN, M.D., INC.

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

## Provider details

- **NPI number:** 1366515744
- **Authorized official:** ALLEN CHAN M.D. (PRESIDENT)
- **Authorized official phone:** (760) 743-3912

## Contact information

- **Practice address:** 488 E VALLEY PKWY, SUITE 404, ESCONDIDO, CA 92025-3363
- **Practice address phone:** (760) 743-3912
- **Practice address fax:** (760) 739-7633
- **Mailing address:** PO BOX 460995, ESCONDIDO, CA 92046-0995
- **Mailing address phone:** (760) 743-3912
- **Mailing address fax:** (760) 739-7633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | G86322 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 12/20/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G863220 | — | CA |