Individual
BILL WAYNE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR # MC8676, SAN DIEGO, CA 92103-1911
(619) 543-6213
Mailing address
200 W ARBOR DR # MC8676, SAN DIEGO, CA 92103-1911
(619) 543-6213
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10045
CA
Other
Enumeration date
04/13/2022
Last updated
03/06/2023
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