Individual
BRYAN PUI WANG CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
980 E FOOTHILL BLVD, STE 104, UPLAND, CA 91786
(909) 920-3578
(909) 949-1238
Mailing address
980 E FOOTHILL BLVD, STE 104, UPLAND, CA 91786
(909) 920-3578
(909) 949-1238
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC 7887
CA
175L00000X
Homeopath
9007
NV
207Q00000X
Family Medicine Physician
Primary
A48504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A485040
—
CA
Enumeration date
09/04/2006
Last updated
06/14/2023
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