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Organization

DAVID CHAN MD INC

Active
Parent organization
DAVID CHAN MD INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAVID CHAN MD INC
Authorized official
DR. DAVID CHAN M.D. (OWNER/PROVIDER)
(916) 456-3844
Entity
Organization

Contact information

Practice address
4232 H ST, SUITE D, SACRAMENTO, CA 95819-3423
(916) 456-3844
(916) 456-2805
Mailing address
4232 H ST, SUITE D, SACRAMENTO, CA 95819-3423
(916) 456-3844
(916) 456-2805

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A22484
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A224840
CA
Enumeration date
05/17/2010
Last updated
06/07/2010
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