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DR. MICHAEL CHEELUEN CHAN M.D.

>> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1518909654

Individual Registrant:
DR. MICHAEL CHEELUEN CHAN M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
11660 SOUTH STREET SUITE 110 ARTESIA, CA 90701-6614 US
Tel: 562-403-8813  Fax: 562-924-2879

Contact information for business:
11660 SOUTH STREET SUITE 110 ARTESIA, CA 90701-6614 US
Tel: 562-403-8813  Fax: 562-924-2879

Registration Information:
NPI: 1518909654
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
CAG31114

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PHYSICIAN CA LICENSEG31114CA01




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