| Steve Li Chan Md Inc | |
|
1106 S Diamond Bar Blvd Diamond Bar CA 91765-2203 | |
| (909) 612-5835 | |
| (909) 612-5836 |
| Full Name | Steve Li Chan Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1106 S Diamond Bar Blvd, Diamond Bar, California |
| Authorized Official Name and Position | Steve L Chan (MD) |
| Authorized Official Contact | 9096125835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steve Li Chan Md Inc 1106 S Diamond Bar Blvd Diamond Bar CA 91765-2203 Ph: (909) 612-5835 | Steve Li Chan Md Inc 1106 S Diamond Bar Blvd Diamond Bar CA 91765-2203 Ph: (909) 612-5835 |
| NPI Number | 1154624153 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/13/2010 |
| Medicare PECOS PAC ID | 8123216264 |
|---|---|
| Medicare Enrollment ID | O20101216000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154624153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A63015 (California) | Primary |
| Provider Name | Steve Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790750743 PECOS PAC ID: 8921291410 Enrollment ID: I20101015000976 |
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