Individual
DR. ROGER CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8150 GARVEY AVE, SUITE 103A, ROSEMEAD, CA 91770-2472
(626) 288-8759
(626) 573-8597
Mailing address
PO BOX 2113, ROSEMEAD, CA 91770-7213
(626) 288-8759
(626) 573-8597
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G73468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G734680
—
CA
05
—
00G734681
—
CA
Enumeration date
02/05/2007
Last updated
03/02/2012
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