Organization
SOUTHERN CALIFORNIA DESERT RETINA CONSULTANTS
Active
Other names
Inland Retina Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEMENT K. CHAN DOCTOR (PRESIDENT)
(760) 340-2394
Entity
Organization
Contact information
Practice address
36949 COOK ST STE 101, PALM DESERT, CA 92211-6080
(760) 340-2394
(760) 340-2369
Mailing address
36949 COOK ST STE 101, PALM DESERT, CA 92211-6080
(760) 340-2394
(760) 340-2369
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0069070
—
CA
05
—
GR0069072
—
CA
05
—
GR0069073
—
CA
Enumeration date
06/12/2006
Last updated
09/25/2020
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