Individual
DR. EDMOND CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15708 POMERADO RD, SUITE N107, POWAY, CA 92064-2066
(858) 485-5921
(858) 485-1445
Mailing address
15708 POMERADO RD, SUITE N107, POWAY, CA 92064-2066
(858) 485-5921
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G41561
CA
Other
Enumeration date
10/20/2005
Last updated
11/16/2020
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