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DR. MICHAEL CHEELUEN CHAN M.D.
>> Obstetrics & Gynecology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1518909654
Individual Registrant:DR. MICHAEL CHEELUEN CHAN M.D.
Gender: M
Sole Proprietor
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
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
Tel: 562-403-8813 Fax: 562-924-2879
Registration Information:
NPI: 1518909654
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207V00000X | Allopathic & Osteopathic Physicians Obstetrics & Gynecology | CA | G31114 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PHYSICIAN CA LICENSE | G31114 | CA | 01 |
