Chanwell Medical Group, Inc.
LBN: Chanwell Medical Group, Inc.
Chanwell Medical Group, Inc. is an health care organization with primary practice located at 10615 S De Anza Blvd , Cupertino CA 95014-4431. 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) 343-0888, or through Chan, Estrellita L via phone (408) 270-8668.
Contact Information
Primary practice address
10615 S De Anza Blvd
Cupertino CA 95014-4431
Phone: (408) 343-0888
Fax: (408) 343-0688
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 | 1316040488 |
|---|---|
| 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 6th, 2006 |
| Last updated | Feb 21st, 2008 - about 16 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 | 1316040488 | NPPES |
| California | MEDICAID | GR0052602 |
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