Jacqueline Susanna Chan in Larkspur - Family Medicine
Jacqueline Susanna Chan - NPI 1740267715
Jacqueline Susanna Chan is a Family Medicine in Larkspur, California. Jacqueline Susanna Chan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jacqueline Susanna Chan is 1740267715. The last update date is 2018-05-02.
Jacqueline Susanna Chan's current location address is 1100 Larkspur Landing Cir. #255, Larkspur, California. You can contact this provider via phone number 4159453213 and fax number 4153295080. The mailing address for Jacqueline Susanna Chan is 1100 Larkspur Landing Cir. #255, Larkspur, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Susanna Chan |
|---|---|
| Address | 1100 Larkspur Landing Cir. #255, Larkspur, California |
| Phone Number | 4159453213 |
| Fax Number | 4153295080 |
| Sole Proprietor | Y |
| Credentials | D.O./OSTEO |
NPI Number Detail
| NPI Number | 1740267715 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2018-05-02 |
Provider Mailing Address Detail
| Address | 1100 Larkspur Landing Cir. #255 |
|---|---|
| City | Larkspur |
| State | California (CA) |
| Post Code | 94939 |
| Phone Number | 4159453213 |
| Fax Number | 4153295080 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 20A10041 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jacqueline Susanna Chan by the Centers for Medicare & Medicaid Services?
The Jacqueline Susanna Chan has been assigned the NPI (National Provider Identifier) 1740267715 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jacqueline Susanna Chan's facilities are geographically located?
The facilities of Jacqueline Susanna Chan are physically situated at the following location: 1100 Larkspur Landing Cir. #255, Larkspur, CA, 94939.
What is the Jacqueline Susanna Chan's specialty and taxonomy code?
The Jacqueline Susanna Chan's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did Jacqueline Susanna Chan receive its 1740267715 assignment from the Centers for Medicare & Medicaid Services?
The Jacqueline Susanna Chan was assigned its 1740267715 on 2005-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jacqueline Susanna Chan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jacqueline Susanna Chan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-05-02.