Chan, Susanna

Chan, Susanna is an individual health care provider with primary practice located at 8283 Grove Ave Ste 207 , Rancho Cucamonga CA 91730. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Chan, Susanna can be contacted via phone (909) 500-3007.

Contact Information

Primary practice address
8283 Grove Ave Ste 207 Rancho Cucamonga CA 91730
Phone: (909) 500-3007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E5313 California

Profile Details

NPI number 1881004059
LBN Legal business name Chan, Susanna
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2014
Last updated Jul 2nd, 2019 - about 5 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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