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MICHAEL L CHAN DMD CORP NPI 1508839952


NPI Information

NPI: 1508839952
Provider Name: MICHAEL L CHAN DMD CORP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1725 S NOGALES AVE STE 107
ROWLAND HEIGHTS, CA
ZIP 91748
Phone: (626) 913-0222
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MICHAEL L CHAN DMD CORP is a general practice dentist in Rowland Heights, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MICHAEL L CHAN DMD CORP NPI is 1508839952. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1725 S NOGALES AVE STE 107
ROWLAND HEIGHTS, CA
ZIP 91748
Phone: (626) 913-0222
Fax: (626) 854-8622

The provider's authorized official is Michael Lap Chan .
The authorized official title is Dentist and has the following contact phone number (626) 913-0222.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice36344CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B36344OTHERCALIFORNIAMEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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