Individual
CHOA CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 E CHEVY CHASE DR, #202, GLENDALE, CA 91206-4163
(818) 244-9595
(818) 244-9599
Mailing address
1530 E CHEVY CHASE DR, #202, GLENDALE, CA 91206-4163
(818) 244-9595
(818) 244-9599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C43036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C430360
—
CA
Enumeration date
02/26/2007
Last updated
07/09/2007
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