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Individual

DR. SECK LAM CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
728 PACIFIC AVENUE, SUITE 608, SAN FRANCISCO, CA 94133-4449
(415) 202-0260
(415) 202-0265
Mailing address
728 PACIFIC AVENUE, SUITE 608, SAN FRANCISCO, CA 94133-4449
(415) 202-0260
(415) 202-0265

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C43212
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C432120
CA
01
1458527
MEDI-CAL PIN
CA
01
C43212
STATE LICENSE
CA
01
CH015Z
MEDCIARE PTAN
CA
Enumeration date
09/14/2005
Last updated
08/23/2010
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