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Individual

HUNG CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3160 FOLSOM BLVD, SACRAMENTO, CA 95816-5219
(916) 733-3333
Mailing address
4001 J ST, SACRAMENTO, CA 95819-3626
(916) 453-4966
(916) 739-1269

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G52718
CA
208M00000X
Hospitalist Physician
Primary
G52718
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000810342543
PHCS
CA
05
00G234540
CA
01
00G527180
BLUE SHIELD
CA
01
1061820
FIRST HEALTH
CA
01
1089864
GREAT WEST
CA
01
1452862
UNITED
CA
01
4067
INTERPLAN
CA
01
4507481
AETNA
CA
01
502583
HEALTH NET
CA
01
5635361
FIRST HEALTH
CA
01
90026118
PACIFICARE
CA
01
G52718
BLUE CROSS
CA
01
MCMG168300
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/20/2006
Last updated
07/25/2007
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