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Individual

ALBERT WAI-TUCK CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10833 LE CONTE AVE, ROOM B2-375 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-6197
Mailing address
PO BOX 20722, SAN JOSE, CA 95160-0722

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A97533
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A97533
CA

Other

Enumeration date
05/04/2007
Last updated
07/25/2016
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