Prof Lawrence Siu-yung Chan, MD, MHA | |
3301 C St Ste 1400, Sacramento, CA 95816-3367 | |
(916) 551-2608 | |
Not Available |
Full Name | Prof Lawrence Siu-yung Chan |
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Gender | Male |
Speciality | Dermatology |
Location | 3301 C St Ste 1400, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912916263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036-085852 (Illinois) | Secondary |
207N00000X | Dermatology | G70528 (California) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
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Prof Lawrence Siu-yung Chan, MD, MHA 3301 C St Ste 1400, Sacramento, CA 95816-3367 Ph: (916) 551-2608 | Prof Lawrence Siu-yung Chan, MD, MHA 3301 C St Ste 1400, Sacramento, CA 95816-3367 Ph: (916) 551-2608 |
Dr. Chai Sue Lee, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3301 C St, Ste. 1300, Sacramento, CA 95816 Phone: 916-734-6111 | |
Thomas A. Giustina, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 | |
Jennifer Ornelas, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1495 River Park Dr Ste 200, Sacramento, CA 95815 Phone: 916-925-7020 Fax: 916-925-3680 | |
Dr. Emil Anthony Tanghetti, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5601 J St, Sacramento, CA 95819 Phone: 916-454-5922 Fax: 916-454-2156 | |
Sheila M Braunstein, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1 Scripps Dr, Suite 300, Sacramento, CA 95825 Phone: 916-920-0871 Fax: 916-920-0860 | |
Dr. Danielle Marie Tartar, MD,PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3301 C Street, Suite 1400, Sacramento, CA 95816 Phone: 916-734-6055 | |
Elyn V Bowers, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3000 Q St Fl 3, Sacramento, CA 95816 Phone: 916-733-3304 Fax: 916-733-3436 |