Individual
DR. JOHN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5220 CLARK AVE STE 125, LAKEWOOD, CA 90712-2623
(562) 804-1381
(562) 925-8898
Mailing address
PO BOX 2598, LA HABRA, CA 90632-2598
(562) 804-1381
(562) 925-8898
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E3254
LICENSE
CA
Enumeration date
09/29/2006
Last updated
01/25/2024
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