Organization
ROGER CHAN MD A MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER C. CHAN M.D. (PRESIDENT)
(626) 288-8759
Entity
Organization
Contact information
Practice address
8150 GARVEY AVE, SUITE 103A, ROSEMEAD, CA 91770-2472
(626) 288-8759
(626) 573-8597
Mailing address
PO BOX 2113, ROSEMEAD, CA 91770-7213
(626) 288-8759
(626) 573-8597
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G73468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G734680
—
CA
05
—
00G734681
—
CA
Enumeration date
02/05/2008
Last updated
02/05/2008
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