Chan, Simmon
Chan, Simmon is an sole proprietor health care provider with primary practice located at 1 W Hellman Ave Suite 6-B, Alhambra CA 91803-4045. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Chan, Simmon can be contacted via phone (626) 571-1833.Contact Information
Primary practice address
1 W Hellman Ave Suite 6-B
Alhambra CA 91803-4045
Phone: (626) 571-1833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 25246 | California |
Profile Details
| NPI number | 1710950175 |
|---|---|
| LBN Legal business name | Chan, Simmon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710950175 | NPPES |
| California | MEDICAID | B2524601 |
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