Organization
CHANWELL MEDICAL GROUP, INC
Active
Other names
Chanwell Medical Group, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTRELLITA LUA CHAN M.D. (VICE PRESIDENT)
(408) 586-8866
Entity
Organization
Contact information
Practice address
1289 S PARK VICTORIA DR, MILPITAS, CA 95035-6996
(408) 586-8866
Mailing address
1289 S PARK VICTORIA DR, MILPITAS, CA 95035-6996
(408) 586-8866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
10/27/2010
Last updated
12/06/2013
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