Chan, Allen K

Chan, Allen K is an sole proprietor health care provider with primary practice located at 28078 Baxter Rd Ste 420 , Murrieta CA 92563-1404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Chan, Allen K can be contacted via phone (760) 969-2900.

Contact Information

Primary practice address
28078 Baxter Rd Ste 420 Murrieta CA 92563-1404
Fax: (858) 712-1234
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G863221 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G86322 California

Profile Details

NPI number 1568486926
LBN Legal business name Chan, Allen K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568486926 NPPES
California MEDICAID 00G863220

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