Mai-sie Chan, M.d., Inc | |
929 Clay St Ste 303 San Francisco CA 94108-1570 | |
(415) 956-6633 | |
(415) 956-6638 |
Full Name | Mai-sie Chan, M.d., Inc |
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Speciality | Clinic/Center |
Location | 929 Clay St Ste 303, San Francisco, California |
Authorized Official Name and Position | Mai-sie Chan (OWNER) |
Authorized Official Contact | 4159566633 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mai-sie Chan, M.d., Inc 929 Clay St Ste 303 San Francisco CA 94108-1570 Ph: (415) 956-6633 | Mai-sie Chan, M.d., Inc 929 Clay St Ste 303 San Francisco CA 94108-1570 Ph: (415) 956-6633 |
NPI Number | 1396441929 |
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Provider Enumeration Date | 02/06/2023 |
Last Update Date | 07/13/2023 |
Medicare PECOS PAC ID | 1355700048 |
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Medicare Enrollment ID | O20230628002486 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396441929 | NPI | - | NPPES |
00A833620 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Mai Sie Fiona Chan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326136557 PECOS PAC ID: 4183603848 Enrollment ID: I20040715001308 |
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