Individual
DR. DAVID DEGUIRE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10840 WARNER AVE STE 103, FOUNTAIN VALLEY, CA 92708-3847
(714) 395-4595
Mailing address
10840 WARNER AVE STE 103, FOUNTAIN VALLEY, CA 92708-3847
(714) 395-4595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125057749
IL
207R00000X
Internal Medicine Physician
20A13372
CA
208M00000X
Hospitalist Physician
Primary
20A13372
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20A13372
—
CA
Enumeration date
07/16/2010
Last updated
11/21/2019
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