Individual
CHARLES D CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4473 WILLOW RD STE 220, PLEASANTON, CA 94588-8580
(925) 416-3407
Mailing address
4473 WILLOW RD STE 220, PLEASANTON, CA 94588-8580
(925) 416-3407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
STUDENT
CA
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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