Individual
DR. ANTONIO QUAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1289 S. PARK VICTORIA DRIVE, SUITE 200, MILPITAS, CA 95035-6974
(408) 586-8866
(408) 586-8858
Mailing address
3726 LAS VEGAS BLVD S UNIT 3501W, LAS VEGAS, NV 89158-4399
(702) 882-6740
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A35593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A355930
—
CA
Enumeration date
10/31/2006
Last updated
03/26/2020
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