Chan, Clement K.

Chan, Clement K. is an individual health care provider with primary practice located at 36949 Cook St Ste 101 , Palm Desert CA 92211-6080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Chan, Clement K. can be contacted via phone (760) 340-2394.

Contact Information

Primary practice address
36949 Cook St Ste 101 Palm Desert CA 92211-6080
Phone: (760) 340-2394
Fax: (760) 340-2369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G45036 California
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X G45036 California

Profile Details

NPI number 1336131408
LBN Legal business name Chan, Clement K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 22nd, 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 1336131408 NPPES
California MEDICAID 00G450360

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