Individual
DR. JIM CHIYEUNG CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1021 S BALDWIN AVE, ARCADIA, CA 91007-7235
(626) 821-9722
Mailing address
1021 S BALDWIN AVE, ARCADIA, CA 91007-7235
(626) 821-9722
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
9872T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0098720
—
CA
Enumeration date
02/02/2007
Last updated
08/08/2008
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