| Stacy Chan Md Inc | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (510) 709-6256 | |
| Not Available |
| Full Name | Stacy Chan Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Stacy S Chan (PRESIDENT) |
| Authorized Official Contact | 5107096256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Chan Md Inc 858 S Bedford St Unit 201 Los Angeles CA 90035-1893 Ph: (510) 709-6256 | Stacy Chan Md Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (510) 709-6256 |
| NPI Number | 1821403072 |
|---|---|
| Provider Enumeration Date | 06/26/2014 |
| Last Update Date | 06/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821403072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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