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Organization
MICHELLE L CHAN A PROFESSIONAL CORPORATION
Active
Organization
MICHELLE L CHAN A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE L CHAN M.D. (PRESIDENT)
(626) 943-0780
Entity
Organization
Contact information
Practice address
1726 NEW AVE, SAN GABRIEL, CA 91776-3734
(626) 943-0780
(626) 943-0200
Mailing address
1726 NEW AVE, SAN GABRIEL, CA 91776-3734
(626) 943-0780
(626) 943-0200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A54786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A547860
—
CA
Enumeration date
07/22/2010
Last updated
09/14/2010
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