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
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