| Edwin Chan Md Inc | |
|
624 W Duarte Rd # 208 Arcadia CA 91007-7603 | |
| (626) 446-3608 | |
| (626) 446-3817 |
| Full Name | Edwin Chan Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 624 W Duarte Rd, Arcadia, California |
| Authorized Official Name and Position | Edwin Chan (M.D.) |
| Authorized Official Contact | 6264463608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin Chan Md Inc 624 West Duarte Rd # 208 Arcadia CA 91007 Ph: (626) 446-3608 | Edwin Chan Md Inc 624 W Duarte Rd # 208 Arcadia CA 91007-7603 Ph: (626) 446-3608 |
| NPI Number | 1922141217 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 11/06/2015 |
| Medicare PECOS PAC ID | 9032341730 |
|---|---|
| Medicare Enrollment ID | O20140411000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922141217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Edwin Tak-wing Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053427427 PECOS PAC ID: 3577796382 Enrollment ID: I20151130000746 |
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