Chan, Suisun Simon
Chan, Suisun Simon is an sole proprietor health care provider with primary practice located at 500 N Garfield Ave Suite 308, Monterey Park CA 91754-1242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chan, Suisun Simon can be contacted via phone (626) 288-8292.Contact Information
Primary practice address
500 N Garfield Ave Suite 308
Monterey Park CA 91754-1242
Phone: (626) 288-8292
Fax: (626) 288-8789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A42588 | California |
Profile Details
| NPI number | 1801815527 |
|---|---|
| LBN Legal business name | Chan, Suisun Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 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 | 1801815527 | NPPES |
| California | MEDICAID | GR0071580 | |
| California | Other | ZZZ53947Z |
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