Individual
DR. ALLEN K CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28078 BAXTER RD STE 420, MURRIETA, CA 92563-1404
(760) 969-2900
(858) 712-1234
Mailing address
29910 MURRIETA HOT SPRINGS ROAD, SUITE G345, MURRIETA, CA 92563-3814
(951) 566-9370
(951) 200-4401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G863221
CA
2086S0129X
Vascular Surgery Physician
Primary
G86322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G863220
—
CA
Enumeration date
07/27/2006
Last updated
07/21/2022
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