JACKIE T. CHAN, M.D., INC. is a medical specialty clinic center in Modesto, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JACKIE T. CHAN, M.D., INC. NPI is 1396954921. The provider is registered as an organization entity type.
The provider's business location address is:
809 SYLVAN AVE
SUITE 400
MODESTO, CA
ZIP 95350-500
Phone: (209) 529-4422
Fax: (209) 529-1711
The provider's authorized official is Jackie Chan .
The authorized official title is President and has the following contact phone number (209) 529-4422.
The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.