Chan, Simon Chi Yan
Chan, Simon Chi Yan is an sole proprietor health care provider with primary practice located at 150 Catherine Ln Suite F, Grass Valley CA 95945-5719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chan, Simon Chi Yan can be contacted via phone (530) 477-9100.Contact Information
Primary practice address
150 Catherine Ln Suite F
Grass Valley CA 95945-5719
Phone: (530) 477-9100
Fax: (530) 477-2033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A70465 | California |
Profile Details
| NPI number | 1063431179 |
|---|---|
| LBN Legal business name | Chan, Simon Chi Yan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jun 22nd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063431179 | NPPES |
| California | MEDICAID | 00A704650 |
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