# SAMUEL CHAN MEDICAL,PC

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

## Provider details

- **NPI number:** 1700172814
- **Authorized official:** RICHARD JAY LOTTO (PRESIDENT)
- **Authorized official phone:** (562) 595-8728

## Contact information

- **Practice address:** 3530 ATLANTIC AVE, SUITE 101, LONG BEACH, CA 90807-4569
- **Practice address phone:** (562) 595-8728
- **Practice address fax:** (562) 490-7395
- **Mailing address:** 3530 ATLANTIC AVE, SUITE 101, LONG BEACH, CA 90807-4569
- **Mailing address phone:** (562) 595-8728
- **Mailing address fax:** (562) 490-7395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G26972 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 06/27/2011