Nina Chan, M.d., Inc | |
980 E Foothill Blvd Ste 104 Upland CA 91786-4068 | |
(909) 920-3578 | |
Not Available |
Full Name | Nina Chan, M.d., Inc |
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Speciality | Family Medicine |
Location | 980 E Foothill Blvd Ste 104, Upland, California |
Authorized Official Name and Position | Nina Chan (OWNER) |
Authorized Official Contact | 9099203578 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nina Chan, M.d., Inc 980 E Foothill Blvd Ste 104 Upland CA 91786-4068 Ph: (909) 920-3578 | Nina Chan, M.d., Inc 980 E Foothill Blvd Ste 104 Upland CA 91786-4068 Ph: (909) 920-3578 |
NPI Number | 1548778913 |
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Provider Enumeration Date | 01/18/2018 |
Last Update Date | 01/18/2018 |
Medicare PECOS PAC ID | 9234565698 |
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Medicare Enrollment ID | O20200203000734 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548778913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nina G Chan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205195021 PECOS PAC ID: 6608191648 Enrollment ID: I20150213000996 |
John J Kim Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 N 13th Ave, Upland, CA 91786 Phone: 909-981-8905 Fax: 909-982-8051 | |
Inland Empire Medical Network,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Suite C, Upland, CA 91786 Phone: 909-981-8599 Fax: 909-981-5441 | |
Karnavy Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 7th St, Ste. 2e, Upland, CA 91786 Phone: 909-982-8976 Fax: 909-920-3176 | |
Generoso S Nery M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1183 E Foothill Blvd, Suite 135, Upland, CA 91786 Phone: 909-931-1368 Fax: 909-931-1372 |