# MICHAEL CHEELUEN CHAN,A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1497807325
- **Authorized official:** DR. MICHAEL CHEELUEN CHAN MD (CEO)
- **Authorized official phone:** (213) 254-7062

## Contact information

- **Practice address:** 21150 HAWTHONE BLVD, 202, TORRANCE, CA 90503
- **Practice address phone:** (213) 254-7062
- **Mailing address:** 21150 HAWTHONE BLVD, 202, TORRANCE, CA 90503
- **Mailing address phone:** (213) 254-7062

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 09/21/2007