Individual
JACKYLN WAI-SHAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2707 E VALLEY BLVD STE 215, WEST COVINA, CA 91792-3197
(909) 594-3382
Mailing address
2707 E VALLEY BLVD STE 215, WEST COVINA, CA 91792-3197
(909) 594-3382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A130711
CA
Other
Enumeration date
06/08/2011
Last updated
07/17/2020
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