# CHAN UNITED MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1720452154
- **Authorized official:** LYNN KIM TRAN PA-C (OWNER)
- **Authorized official phone:** (626) 308-0138

## Contact information

- **Practice address:** 1001 S GARFIELD AVE, ALHAMBRA, CA 91801-4772
- **Practice address phone:** (626) 308-0138
- **Practice address fax:** (213) 626-7868
- **Mailing address:** 1001 S GARFIELD AVE, ALHAMBRA, CA 91801-4772
- **Mailing address phone:** (626) 308-0138
- **Mailing address fax:** (213) 626-7868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 3832474 | CA | Yes |

## Other

- **Enumeration date:** 11/23/2015
- **Last updated:** 10/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 195JHG76 | — | CA |