Sandy Chan, MD | |
2755 Herndon Ave, Clovis, CA 93611-6800 | |
(559) 324-4000 | |
Not Available |
Full Name | Sandy Chan |
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Gender | Female |
Speciality | Anesthesiology |
Location | 2755 Herndon Ave, Clovis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992026504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A103192 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Community Foundation Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
Mailing Address | Practice Location Address |
---|---|
Sandy Chan, MD Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Sandy Chan, MD 2755 Herndon Ave, Clovis, CA 93611-6800 Ph: (559) 324-4000 |
Dr. David Weeks, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Avenue, Clovis, CA 93612 Phone: 559-324-4000 | |
Silvester K Kagunye, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Avenue, Clovis, CA 93611 Phone: 559-324-4000 Fax: 661-633-2700 | |
Dr. Oren Erlichman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Avenue, Clovis, CA 93612 Phone: 559-324-4000 | |
Dr. Eric Chen Li, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Avenue, Clovis, CA 93612 Phone: 559-324-4000 | |
Dr. Brian D. Smith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000 | |
Mrs. Leonita A Carungcong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon, Clovis, CA 93612 Phone: 559-324-4066 Fax: 559-324-4000 | |
Mr. Jacob Samuel, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2755 Herndon, Clovis, CA 93612 Phone: 559-324-4066 Fax: 559-324-4000 |