# CANDY K CHAN, MD, PHD

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

## Provider details

- **NPI number:** 1609225457
- **Authorized official:** DR. CANDY K CHAN MD, PHD (OWNER)
- **Authorized official phone:** (323) 459-3136

## Contact information

- **Practice address:** 709 FREMONT AVE, SUITE C, SOUTH PASADENA, CA 91030-2559
- **Practice address phone:** (323) 459-3136
- **Mailing address:** 1144 S CHAPEL AVE, ALHAMBRA, CA 91801-4827
- **Mailing address phone:** (323) 459-3136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2016
- **Last updated:** 10/12/2023