Individual
DR. CHARLIE T CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10953 RAMONA BLVD, EL MONTE, CA 91731-2629
(626) 579-8463
Mailing address
10953 RAMONA BLVD, EL MONTE, CA 91731-2629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70296
CA
Other
Enumeration date
08/31/2006
Last updated
07/09/2007
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