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Individual

DR. CONSTANT K.S. CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10007 STATE ST, LYNWOOD, CA 90262-1514
(323) 566-3157
(323) 566-2676
Mailing address
10007 STATE ST, LYNWOOD, CA 90262-1514
(323) 566-3157
(323) 566-2676

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A40174
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A401740
CA
01
A40174
LICENSE
CA
Enumeration date
07/31/2006
Last updated
03/07/2023
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