Individual
KIN-CHUNG CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 MERCY AVE, SUITE 400, MERCED, CA 95340-8368
(209) 564-3700
(209) 564-3799
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES - 2ND FLOOR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A38749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A387490
—
CA
Enumeration date
08/20/2006
Last updated
03/24/2014
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