# DR. JACKIE TSZ-KIT CHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801850953
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | G077865 | CA | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | G077865 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | G077865 | CA | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | G077865 | CA | — |
| 208VP0014X | Interventional Pain Medicine Physician | G077865 | CA | — |

## Other

- **Enumeration date:** 04/14/2006
- **Last updated:** 08/24/2023