Chan, Justin Le

Chan, Justin Le is an individual health care provider with primary practice located at 925 S Garfield Ave , Alhambra CA 91801-4442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chan, Justin Le can be contacted via phone (626) 282-0282.

Contact Information

Primary practice address
925 S Garfield Ave Alhambra CA 91801-4442
Phone: (626) 282-0282
Fax: (626) 282-0939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G79829 California

Profile Details

NPI number 1003818501
LBN Legal business name Chan, Justin Le
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 9th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003818501 NPPES
California MEDICAID 00G798290

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