Individual
DR. JACKIE TSZ-KIT CHAN
Active
Individual
DR. JACKIE TSZ-KIT CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
G077865
CA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
G077865
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G077865
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
G077865
CA
208VP0014X
Interventional Pain Medicine Physician
G077865
CA
Other
Enumeration date
04/14/2006
Last updated
08/24/2023
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