Organization
CHAN FAMILY MEDICAL CORP
Active
Other names
Shiny Star Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMMELINE CHAN M.D (VICE PRESIDENT)
(323) 685-2070
Entity
Organization
Contact information
Practice address
4070 E. OLYMPIC BLVD, LOS ANGELES, CA 90023
(323) 685-2070
(323) 685-2077
Mailing address
4070 E. OLYMPIC BLVD, LOS ANGELES, CA 90023
(323) 685-2070
(323) 685-2077
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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