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Individual

SUSANNA CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
8283 GROVE AVE STE 207, RANCHO CUCAMONGA, CA 91730
(909) 500-3007
Mailing address
1417 W BEVERLY BLVD, STE 104, MONTEBELLO, CA 90640-4125
(323) 721-6026

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5313
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/28/2014
Last updated
07/02/2019
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