Individual
DR. RAYMOND YUEN-FONG CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4619 CONVOY ST, SUITE G, SAN DIEGO, CA 92111-2318
(858) 627-9988
Mailing address
4619 CONVOY ST, SUITE G, SAN DIEGO, CA 92111-2318
(858) 627-9988
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G44249
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G442490
—
CA
Enumeration date
08/29/2006
Last updated
07/08/2007
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