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05D1094956 CLIA NUMBER - JACKIE T CHAN, MD, INC

Laboratory Demographics

CLIA Number: 05D1094956

Facility Name: JACKIE T CHAN, MD, INC

Facility Address:
809 SYLVAN AVENUE, SUITE 400
MODESTO, CA
ZIP 95350
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Facility Phone Number: 209 529-4422

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1801850953

Taxonomy: 208100000X - Physical Medicine & Rehabilitation
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

CLIA Record

Field Name Field Value
CLIA Number 05D1094956
LAB Type Physician Office
Facility Name JACKIE T CHAN, MD, INC
Street 809 SYLVAN AVENUE, SUITE 400
City MODESTO
State CA
ZIP 95350
Phone 209 529-4422
CertificateType 4
CertificateEffectiveDate 1/29/2023
CertificateExpirationDate 1/28/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024