Individual
DR. JOHN C CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 576-3514
(209) 342-3492
Mailing address
PO BOX 28128, FRESNO, CA 93729-8128
(559) 436-0871
(559) 436-5221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G38491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G384911
—
CA
Enumeration date
08/26/2005
Last updated
03/20/2009
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