Chan, Choa
Chan, Choa is an sole proprietor health care provider with primary practice located at 1530 E Chevy Chase Dr #202, Glendale CA 91206-4163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chan, Choa can be contacted via phone (818) 244-9595.Contact Information
Primary practice address
1530 E Chevy Chase Dr #202
Glendale CA 91206-4163
Phone: (818) 244-9595
Fax: (818) 244-9599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C43036 | California |
Profile Details
| NPI number | 1992831671 |
|---|---|
| LBN Legal business name | Chan, Choa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992831671 | NPPES |
| California | MEDICAID | 00C430360 |
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