Individual
JEFFREY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2735 ULLOA ST, SAN FRANCISCO, CA 94116-2321
(415) 713-1918
Mailing address
2735 ULLOA ST, SAN FRANCISCO, CA 94116-2321
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF00096340
CA
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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