Individual
DR. ERIC SIU PING CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1057 E GRAND AVE, ARROYO GRANDE, CA 93420-2504
(626) 927-0874
(626) 927-0875
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8030
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A51580
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A51580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000026089
MEDI-CARE SUB
CA
01
—
00A515800
MEDI-CAL
CA
Enumeration date
10/12/2006
Last updated
09/29/2022
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