Individual
DERRICK W CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4860 Y ST STE 1600, SACRAMENTO, CA 95817-2307
(916) 734-3630
Mailing address
4860 Y ST STE 1600, SACRAMENTO, CA 95817-2307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A133607
CA
Other
Enumeration date
05/02/2013
Last updated
03/17/2015
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