Organization
ONN T. CHAN M.D., INC.
Active
Other names
Onn T. Chan, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ONN T. CHAN M.D. (PRESIDENT/OWNER)
(626) 335-0588
Entity
Organization
Contact information
Practice address
1135 E ROUTE 66 STE 106, GLENDORA, CA 91740-3769
(626) 335-0588
(626) 852-1526
Mailing address
1135 E ROUTE 66 STE 106, GLENDORA, CA 91740-3769
(626) 335-0588
(626) 852-1526
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A164110
—
CA
Enumeration date
10/09/2007
Last updated
10/25/2007
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