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Individual

DR. PHILIP T.C. CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
821 S GARFIELD AVE, SUITE 101, ALHAMBRA, CA 91801-5839
(626) 284-7300
(626) 284-7374
Mailing address
821 S GARFIELD AVE, SUITE 101, ALHAMBRA, CA 91801-5839
(626) 284-7300
(626) 284-7374

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G39596
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G395960
CA
05
00G395961
CA
Enumeration date
12/04/2006
Last updated
11/14/2007
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