Individual
DR. KIN MING CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 BANCROFT WAY, TANG CENTER UC BERKELEY, BERKELEY, CA 94720-4300
(510) 642-9494
Mailing address
4916 OMAR ST, FREMONT, CA 94538-3248
(510) 996-8449
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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