Organization
ERIC S.P. CHAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SIU PING CHAN M.D. (PHYSICIAN)
(626) 927-0874
Entity
Organization
Contact information
Practice address
600 N GARFIELD AVE, 312, MONTEREY PARK, CA 91754-1171
(626) 927-0874
(626) 927-0875
Mailing address
600 N GARFIELD AVE, 312, MONTEREY PARK, CA 91754-1171
(626) 927-0874
(626) 927-0875
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A51580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A515800
MEDI-CAL LICENSE NUMBER
CA
Enumeration date
09/09/2009
Last updated
10/07/2010
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