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 only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as 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:
Map and Directions
Authorized official contact:
Name: Chan, Estrellita L Doctor of Medicine (MD)
Phone: (408) 270-8668

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A35593 California

Profile Details

NPI number 1194747147
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 Jul 25th, 2006
Last updated Apr 16th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194747147 NPPES
California MEDICAID GR0052601

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