Individual
CHING FUNG CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9353 VALLEY BLVD STE C, ROSEMEAD, CA 91770-1923
(626) 287-2988
Mailing address
20510 VARSITY DR, WALNUT, CA 91789-1221
(626) 348-6064
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
04/11/2018
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