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Organization
CANDY K CHAN, MD, PHD
Active
Organization
CANDY K CHAN, MD, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDY K CHAN MD, PHD (OWNER)
(323) 459-3136
Entity
Organization
Contact information
Practice address
709 FREMONT AVE, SUITE C, SOUTH PASADENA, CA 91030-2559
(323) 459-3136
Mailing address
1144 S CHAPEL AVE, ALHAMBRA, CA 91801-4827
(323) 459-3136
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/11/2016
Last updated
10/12/2023
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