Chan, John

Chan, John is an sole proprietor health care provider with primary practice located at 5220 Clark Ave Ste 125 , Lakewood CA 90712-2623. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Chan, John can be contacted via phone (562) 804-1381.

Contact Information

Primary practice address
5220 Clark Ave Ste 125 Lakewood CA 90712-2623
Phone: (562) 804-1381
Fax: (562) 925-8898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3254 California

Profile Details

NPI number 1134211964
LBN Legal business name Chan, John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jan 25th, 2024 - about 11 months 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 1134211964 NPPES
California Other E3254 LICENSE

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