Jackie Chan, DPM is a foot and ankle surgery podiatrist in Pico Rivera, CA. Jackie Chan, DPM NPI is 1417026881. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8337 TELEGRAPH RD
SUITE 206
PICO RIVERA, CA
ZIP 90660-909
Phone: (562) 806-1862
Fax: (562) 928-6542
The NPI 1417026881 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 11/7/2006 and was last updated on 9/14/2012.