DR. SIMMON CHAN DDS NPI 1710950175

NPI Information

  • NPI: 1710950175
  • Provider Name: DR. SIMMON CHAN, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 1 W HELLMAN AVE
    SUITE 6-B
    ALHAMBRA, CA
    ZIP 91803
  • Phone: (626) 571-1833

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NPI Details

DR. Simmon Chan, DDS is an oral and maxillofacial surgery dentist in Alhambra, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Simmon Chan, DDS NPI is 1710950175. 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:

1 W HELLMAN AVE
SUITE 6-B
ALHAMBRA, CA
ZIP 91803-045
Phone: (626) 571-1833

The enumeration date for this NPI number is 2/8/2006 and was last updated on 7/9/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery25246CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U61345MEDICARE UPINCALIFORNIA
2D25246MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3B2524601MEDICAIDCALIFORNIA

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: 11/21/2025

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