Individual
BARBARA JANE CHAN GANCHINGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
308 E SAN JACINTO AVE, PERRIS, CA 92570-2878
(951) 940-6700
(951) 940-6726
Mailing address
308 E SAN JACINTO AVE, PERRIS, CA 92570-2878
(951) 940-6700
(951) 940-6726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A14212
CA
Other
Enumeration date
04/04/2012
Last updated
10/25/2016
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