Individual
KARENCE KAM CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ONE HOAG DRIVE, NEWPORT BEACH, CA 92660
(949) 263-8620
(949) 263-1639
Mailing address
PO BOX 3095, NEWPORT BEACH, CA 92659-0659
(949) 263-8620
(949) 263-1639
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G78318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G783180
—
CA
Enumeration date
09/15/2006
Last updated
07/08/2007
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