Organization
CHANWELL MEDICAL GROUP, INC
Active
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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