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Organization
ONN T. CHAN M.D., INC.
Active
Organization
ONN T. CHAN M.D., INC.
Active
Other names
Onn T. Chan, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ONN T. CHAN M.D. (PRESIDENT/OWNER)
(626) 335-0588
Entity
Organization
Contact information
Practice address
1135 E ROUTE 66 STE 106, GLENDORA, CA 91740-3769
(626) 335-0588
(626) 852-1526
Mailing address
1135 E ROUTE 66 STE 106, GLENDORA, CA 91740-3769
(626) 335-0588
(626) 852-1526
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A164110
—
CA
Enumeration date
10/09/2007
Last updated
10/25/2007
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