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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1063431179 NPPES
California MEDICAID 00A704650

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