Individual
SHARON HSI JAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 HAWTHORNE AVE RM 2346, OAKLAND, CA 94609-3108
(510) 869-6883
(510) 869-8781
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 869-6883
(510) 859-8781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A118582
CA
208M00000X
Hospitalist Physician
Primary
A118582
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A118582
STATE MEDICAL LICENSE
CA
Enumeration date
04/17/2010
Last updated
07/31/2019
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