Individual
DR. ELLIOT CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14000 E 14TH ST, SAN LEANDRO, CA 94578-2714
(510) 351-4400
Mailing address
14000 E 14TH ST, SAN LEANDRO, CA 94578-2714
(510) 351-4400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A160365
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
07/22/2021
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