Organization
RAYMOND Y CHAN MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND Y CHAN M.D. (PRESIDENT)
(858) 627-9988
Entity
Organization
Contact information
Practice address
4619 CONVOY ST, STE G, SAN DIEGO, CA 92111-2318
(858) 627-9988
Mailing address
4619 CONVOY ST, STE G, SAN DIEGO, CA 92111-2318
(858) 627-9988
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G44249
CA
Other
Enumeration date
02/21/2017
Last updated
02/23/2017
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