Organization
JACQUELINE S CHAN DO A MEDICAL CORPORATION
Active
Other names
Hyperbaric Oxygen Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE CHAN DO (DO / OWNER)
(415) 785-8652
Entity
Organization
Contact information
Practice address
1118 IRWIN ST, SAN RAFAEL, CA 94901-3322
(415) 785-8652
Mailing address
1118 IRWIN ST, SAN RAFAEL, CA 94901-3322
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10041
CA MEDICAL LICENSE
CA
Enumeration date
03/23/2020
Last updated
02/04/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up