Individual
DR. GARRY D CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
541 W VALLEY BLVD, SAN GABRIEL, CA 91776-3730
(626) 289-8868
(626) 289-9338
Mailing address
541 W VALLEY BLVD, SAN GABRIEL, CA 91776-3730
(626) 289-8868
(626) 289-9338
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10265T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001400
—
CA
Enumeration date
05/18/2007
Last updated
07/08/2007
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