Individual provider · NPI-1

Edwin Tak-Wing Chan, M.D.

Family Medicine · Arcadia, CA

NPI number1053427427
StatusActive
Last updated in NPPESNov 5, 2015

Details

NPI
1053427427
Entity type
Individual (NPI-1)
Name
Edwin Tak-Wing Chan
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 21, 2006
Last updated
Nov 5, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA66464CAYes

Other names

  • Edwin Tak Wing Chan (Professional Name)

Practice location

624 W Duarte Rd
Suite 208
Arcadia, CA 91007-7603

Phone 626-446-3608 · Fax 626-446-3817

Mailing address

624 W Duarte Rd
208
Arcadia, CA 91007-7603

Phone 626-446-3608 · Fax 626-446-3817

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