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Organization
EM & DA GROUP
Active
Organization
EM & DA GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANT CHAN (PRESIDENT)
(415) 271-8862
Entity
Organization
Contact information
Practice address
2440 MARIPOSA ST, SAN FRANCISCO, CA 94110-1423
(415) 271-8862
Mailing address
501 W GLENOAKS BLVD # 23, GLENDALE, CA 91202-2896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A40174
CA
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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