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Organization
SAMUEL CHAN MEDICAL,PC
Active
Organization
SAMUEL CHAN MEDICAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JAY LOTTO (PRESIDENT)
(562) 595-8728
Entity
Organization
Contact information
Practice address
3530 ATLANTIC AVE, SUITE 101, LONG BEACH, CA 90807-4569
(562) 595-8728
(562) 490-7395
Mailing address
3530 ATLANTIC AVE, SUITE 101, LONG BEACH, CA 90807-4569
(562) 595-8728
(562) 490-7395
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G26972
CA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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