Stephen L Chan in La Mesa - General Practice

Stephen L Chan - NPI 1366575920

Stephen L Chan is a General Practice in La Mesa, California. Stephen L Chan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen L Chan is 1366575920. The last update date is 2007-07-08.

Stephen L Chan's current location address is 4700 Spring St, La Mesa, California. You can contact this provider via phone number 6194642801 and fax number 6194642802. The mailing address for Stephen L Chan is 4700 Spring St, La Mesa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen L Chan
Address 4700 Spring St, La Mesa, California
Phone Number 6194642801
Fax Number 6194642802
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1366575920
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4700 Spring St
City La Mesa
State California (CA)
Post Code 919415263
Phone Number 6194642801
Fax Number 6194642802

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 36345
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Stephen L Chan

What is the unique 10-digit identification code issued to Stephen L Chan by the Centers for Medicare & Medicaid Services?

The Stephen L Chan has been assigned the NPI (National Provider Identifier) 1366575920 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Stephen L Chan's facilities are situated?

The facilities of Stephen L Chan are physically located at the following address: 4700 Spring St, La Mesa, CA, 919415263.

What is Stephen L Chan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stephen L Chan is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1366575920 to Stephen L Chan?

The Centers for Medicare & Medicaid Services originally issued the 1366575920 to Stephen L Chan on 2007-03-13.

As of what date were the details related to Stephen L Chan most recently updated or revised?

The information pertaining to Stephen L Chan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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