Individual
DR. SANNY K CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1301 20TH ST STE 220, SANTA MONICA, CA 90404-2080
(310) 401-1434
(310) 453-8468
Mailing address
1301 20TH ST STE 220, SANTA MONICA, CA 90404-2080
(310) 401-1434
(310) 453-8468
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
54201
CO
207K00000X
Allergy & Immunology Physician
Primary
A108449
CA
208000000X
Pediatrics Physician
54201
CO
208000000X
Pediatrics Physician
A108449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333357366
—
CO
Enumeration date
07/02/2009
Last updated
05/17/2021
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