Organization
KENNETH D CHAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DONG CHAN MD (PRESIDENT)
(415) 982-6691
Entity
Organization
Contact information
Practice address
789 VALLEJO STREET, SAN FRANCISCO, CA 94133-3834
(415) 982-6691
(415) 982-0914
Mailing address
789 VALLEJO STREET, SAN FRANCISCO, CA 94133-3834
(415) 982-6691
(415) 982-0914
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G42953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G429530
—
CA
Enumeration date
02/05/2007
Last updated
01/27/2012
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