Individual
RAYMOND CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324
(909) 580-3370
Mailing address
10945 LE CONTE AVE STE 2339, LOS ANGELES, CA 90095-3000
(310) 825-5421
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A148110
CA
Other
Enumeration date
06/24/2014
Last updated
07/20/2018
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