Individual
CLEMENT K. CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36949 COOK ST STE 101, PALM DESERT, CA 92211-6080
(760) 340-2394
(760) 340-2369
Mailing address
36949 COOK ST STE 101, PALM DESERT, CA 92211-6080
(760) 340-2394
(760) 340-2369
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G45036
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
G45036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G450360
—
CA
Enumeration date
08/16/2005
Last updated
11/22/2022
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