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Individual

KOK CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 331-7331
Mailing address
26816 VISTA TER, LAKE FOREST, CA 92630-8115
(949) 588-2190

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A31474
CA

Other

Enumeration date
07/11/2006
Last updated
07/08/2007
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