Individual
DR. JOSEPH GAWON CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5562 PHILADELPHIA ST STE 200, CHINO, CA 91710-2482
(909) 464-9119
Mailing address
5562 PHILADELPHIA ST, CHINO, CA 91710-2466
(909) 330-4158
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20A15421
CA
390200000X
Student in an Organized Health Care Education/Training Program
UO6277
FL
Other
Enumeration date
04/03/2015
Last updated
02/27/2024
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