Individual
DR. DENNIS Y. CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
500 N GARFIELD AVE, SUITE 107, MONTEREY PARK, CA 91754-1242
(626) 280-3225
(626) 280-4222
Mailing address
PO BOX 6427, ALHAMBRA, CA 91802-6427
(626) 280-3225
(626) 280-4222
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A43296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A432960
BLUE SHIELD
—
05
—
00A432961
—
CA
Enumeration date
07/07/2006
Last updated
03/03/2015
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