Organization
ALLEN K. CHAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN CHAN M.D. (PRESIDENT)
(760) 743-3912
Entity
Organization
Contact information
Practice address
488 E VALLEY PKWY, SUITE 404, ESCONDIDO, CA 92025-3363
(760) 743-3912
(760) 739-7633
Mailing address
PO BOX 460995, ESCONDIDO, CA 92046-0995
(760) 743-3912
(760) 739-7633
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G86322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G863220
—
CA
Enumeration date
11/15/2006
Last updated
12/20/2007
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