Individual
DR. ALEX CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6861 ALVARADO RD UNIT 9, SAN DIEGO, CA 92120-5204
(619) 366-4592
Mailing address
27575 WATTS LN, HOT SPRINGS, SD 57747-8505
(619) 366-4592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10585
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
12/04/2017
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