Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FIRSTSOTO MEDICAL GROUP
Active
Organization
FIRSTSOTO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANT CHAN M.D. (PRESIDENT)
(323) 588-4004
Entity
Organization
Contact information
Practice address
2680 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4708
(323) 588-4004
(323) 588-5241
Mailing address
2680 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4708
(323) 588-4004
(323) 588-5241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GR0054550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A371250
—
CA
05
—
00A401740
—
CA
05
—
GR0054550
—
CA
Enumeration date
09/14/2006
Last updated
05/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up