| Chan United Medical Group, Inc. | |
|
1001 S Garfield Ave Alhambra CA 91801-4772 | |
| (626) 308-0138 | |
| (213) 626-7868 |
| Full Name | Chan United Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1001 S Garfield Ave, Alhambra, California |
| Authorized Official Name and Position | Lynn Kim Tran (OWNER) |
| Authorized Official Contact | 6263080138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chan United Medical Group, Inc. 1001 S Garfield Ave Alhambra CA 91801-4772 Ph: (626) 308-0138 | Chan United Medical Group, Inc. 1001 S Garfield Ave Alhambra CA 91801-4772 Ph: (626) 308-0138 |
| NPI Number | 1720452154 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 10/19/2021 |
| Medicare PECOS PAC ID | 1557669173 |
|---|---|
| Medicare Enrollment ID | O20160415000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720452154 | NPI | - | NPPES |
| 195JHG76 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3832474 (California) | Primary |
| Provider Name | Victor Nguyen Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669767406 PECOS PAC ID: 2961671185 Enrollment ID: I20110804000435 |
| Provider Name | Anna Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194037481 PECOS PAC ID: 2466604830 Enrollment ID: I20121211000126 |
| Provider Name | Kimberly Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295166692 PECOS PAC ID: 6800110487 Enrollment ID: I20150131000153 |
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