Edmond L Chan Md A Medical Corporation

LBN: Edmond L Chan Md A Medical Corporation
Edmond L Chan Md A Medical Corporation is an health care organization with primary practice located at 15708 Pomerado Rd # N107 , Poway CA 92064-2066. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Edmond L Chan Md A Medical Corporation can be contacted via phone (858) 485-5921, or through Renteria, Veronica A via phone (858) 485-5921.

Contact Information

Primary practice address
15708 Pomerado Rd # N107 Poway CA 92064-2066
Phone: (858) 485-5921
Fax: (858) 485-1445
Website:
Map and Directions
Authorized official contact:
Name: Renteria, Veronica A
Phone: (858) 485-5921

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X A89731 California

Profile Details

NPI number 1174824221
LBN Legal business name Edmond L Chan Md A Medical Corporation
DBA Doing business as
Authorized official Renteria, Veronica A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2010
Last updated May 4th, 2015 - about 9 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 1174824221 NPPES
California Other EC809A PTAN

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