Individual
GARY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3600 ROSEMEAD BLVD, ROSEMEAD, CA 91770-2066
(626) 537-3214
Mailing address
1425 LAWFORD ST, GLENDORA, CA 91741-3757
(808) 772-9201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33906TLG
CA
Other
Enumeration date
04/13/2018
Last updated
05/22/2020
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