Organization
CONSTANT K.S. CHAN M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANT K.S. CHAN M.D. (PRESIDENT)
(323) 566-3157
Entity
Organization
Contact information
Practice address
10007 STATE ST, LYNWOOD, CA 90262-1514
(323) 566-3157
(323) 566-2676
Mailing address
10007 STATE ST, LYNWOOD, CA 90262-1514
(323) 566-3157
(323) 566-2676
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A40174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A401740
—
CA
Enumeration date
10/05/2010
Last updated
11/21/2012
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