Individual
JEFFERSON Y CHAN
Active
Individual
JEFFERSON Y CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
G84497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G844970
BLUE SHIELD
CA
05
—
00G844970
—
CA
01
—
WG84497A
MEDICARE PTAN
CA
Enumeration date
04/26/2007
Last updated
03/25/2008
Update your record
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