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CHAN UNITED MEDICAL GROUP INC. NPI 1720452154


NPI Information

NPI: 1720452154
Provider Name: CHAN UNITED MEDICAL GROUP, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D2112035

Address:
1001 S GARFIELD AVE
ALHAMBRA, CA
ZIP 91801
Phone: (626) 308-0138
Get Directions

CHAN UNITED MEDICAL GROUP, INC. is a general practice in Alhambra, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CHAN UNITED MEDICAL GROUP, INC. NPI is 1720452154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 S GARFIELD AVE
ALHAMBRA, CA
ZIP 91801-772
Phone: (626) 308-0138
Fax: (213) 626-7868

The provider's authorized official is Lynn Kim Tran .
The authorized official title is Owner and has the following contact phone number (626) 308-0138.

The CLIA number assigned to this NPI record is 05D2112035 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2015 and was last updated on 10/19/2021.


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
1208D00000XGeneral Practice3832474CALIFORNIAYes

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
1195JHG76MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.