Individual
DERICK CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
544 INTERNATIONAL BLVD APT 9, OAKLAND, CA 94606-2973
(510) 677-6660
Mailing address
544 INTERNATIONAL BLVD APT 9, OAKLAND, CA 94606-2973
(510) 677-6660
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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