# ROGER CHAN MD A MEDICAL CORP.

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

## Provider details

- **NPI number:** 1881872661
- **Authorized official:** DR. ROGER C. CHAN M.D. (PRESIDENT)
- **Authorized official phone:** (626) 288-8759

## Contact information

- **Practice address:** 8150 GARVEY AVE, SUITE 103A, ROSEMEAD, CA 91770-2472
- **Practice address phone:** (626) 288-8759
- **Practice address fax:** (626) 573-8597
- **Mailing address:** PO BOX 2113, ROSEMEAD, CA 91770-7213
- **Mailing address phone:** (626) 288-8759
- **Mailing address fax:** (626) 573-8597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G73468 | CA | Yes |

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 02/05/2008
