Individual
JUSTIN KALOK CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1887 MONTEREY HWY STE 200, SAN JOSE, CA 95112-6192
(408) 288-3815
Mailing address
10220 PENINSULA AVE, CUPERTINO, CA 95014-1211
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
295937
CA
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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