Chan Medical Group in Los Banos - Specialist

Chan Medical Group - NPI 1821177031

Chan Medical Group is a Specialist in Los Banos, California. Chan Medical Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for Chan Medical Group is 1821177031. The last update date is 2018-06-21.

Chan Medical Group's current location address is 600 W I St, Los Banos, California. You can contact this provider via phone number 2098264771 and fax number 2098268565. The mailing address for Chan Medical Group is 600 W I St, Los Banos, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Chan Medical Group
Address 600 W I St, Los Banos, California
Phone Number 2098264771
Fax Number 2098268565
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Chan Hor Wan
Credentials M.D.
Telephone Number 2098264771

NPI Number Detail

NPI Number 1821177031
Provider Enumeration Date 2006-11-06
Last Updated Date 2018-06-21

Provider Mailing Address Detail

Address 600 W I St
City Los Banos
State California (CA)
Post Code 936353460
Phone Number 2098264771
Fax Number 2098268565

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A257340
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ76229Z CA --

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FAQs about Chan Medical Group

What is the unique 10-digit identifier code issued to Chan Medical Group by the Centers for Medicare & Medicaid Services?

The Chan Medical Group has been assigned the NPI (National Provider Identifier) 1821177031 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Chan Medical Group is geographically located?

The Chan Medical Group is physically situated at the following location: 600 W I St, Los Banos, CA, 936353460.

What is Chan Medical Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Chan Medical Group's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1821177031 to Chan Medical Group?

The Centers for Medicare & Medicaid Services assigned the 1821177031 to Chan Medical Group on 2006-11-06.

When was the information regarding Chan Medical Group most recently updated?

The details pertaining to the Chan Medical Group, including its address, specialty, and other relevant information, were last refreshed on 2018-06-21.

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