Chanwell Medical Group, Inc.
LBN: Chanwell Medical Group, Inc.
Chanwell Medical Group, Inc. is an health care organization with primary practice located at 2690 South White Road Suite 10, San Jose CA 95148-2075. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Chanwell Medical Group, Inc. can be contacted via phone (408) 270-8668, or through Chan, Estrellita L via phone (408) 270-8668.
Contact Information
Primary practice address
2690 South White Road Suite 10
San Jose CA 95148-2075
Phone: (408) 270-8668
Fax: (408) 270-8669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Sleep Disorder Diagnostic | 261QS1200X |
Profile Details
| NPI number | 1144324468 |
|---|---|
| LBN Legal business name | Chanwell Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Chan, Estrellita L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Feb 24th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144324468 | NPPES |
| California | MEDICAID | GR0052600 |
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