Dr Melanie M Chan, MD | |
15 Mareblu, Aliso Viejo, CA 92656-3015 | |
(949) 448-0656 | |
(949) 425-2465 |
Full Name | Dr Melanie M Chan |
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Gender | Female |
Speciality | Pediatrics |
Location | 15 Mareblu, Aliso Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295753473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A89423 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Dr Melanie M Chan, MD 2742 Dow Ave, Tustin, CA 92780-7242 Ph: (714) 665-1661 | Dr Melanie M Chan, MD 15 Mareblu, Aliso Viejo, CA 92656-3015 Ph: (949) 448-0656 |
Dr. Dan Kouwabunpat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Journey Ste 100, Aliso Viejo, CA 92656 Phone: 949-831-4472 Fax: 949-831-6499 | |
Dr. Jan M Johnson, BJ6359271 Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Journey Ste 140, Aliso Viejo, CA 92656 Phone: 949-831-4472 Fax: 949-831-6499 | |
Elizabeth Dyer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24502 Pacific Park Dr Ste 104, Aliso Viejo, CA 92656 Phone: 949-898-6220 Fax: 949-898-6221 | |
Dr. Naomi Uchiyama, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Mareblu, 100, Aliso Viejo, CA 92656 Phone: 949-448-0656 Fax: 949-425-2465 |