Chan, Jefferson Y
Chan, Jefferson Y is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Chan, Jefferson Y can be contacted via phone (714) 456-6141.Contact Information
Primary practice address
101 The City Dr S
Orange CA 92868-3201
Phone: (714) 456-6141
Fax: (714) 456-5873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | G84497 | California |
Profile Details
| NPI number | 1871713271 |
|---|---|
| LBN Legal business name | Chan, Jefferson Y |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Mar 25th, 2008 - about 17 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 | 1871713271 | NPPES |
| California | Other | WG84497A | MEDICARE PTAN |
| California | MEDICAID | 00G844970 | MEDICARE PTAN |
| California | Other | 00G844970 | MEDICARE PTAN |
Popular Providers
-
Mathur, Gagan
101 The City Dr S , Orange CA 92868-3201 -
Virata, Rodelino R
1836 South Ave , La Crosse WI 54601-5429 -
Newman, Richard S
Uci Medical Center 101 The City Drive South, Orange CA 92868 -
Barcos, Maurice
Elm And Carlton Streets , Buffalo NY 14263-0001 -
Leveque, Christopher
6565 Fannin St Ms205, Houston TX 77030-2703 -
Zeng, Gordon G
1836 South Ave , La Crosse WI 54601-5429 -
Becker, Joanne Lynn
Elm And Carlton Streets , Buffalo NY 14263-0001 -
Wittchow, Richard J
1836 South Ave , La Crosse WI 54601-5429