Dr. Randall Chan, MD
Internal Medicine in Monterey Park, CA. Individual provider (NPI-1).
NPI number1265969273
StatusActive
Last updated in NPPESNov 12, 2022
Details
- NPI
- 1265969273
- Entity type
- Individual (NPI-1)
- Name
- Dr. Randall Chan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2017
- Certification date
- Nov 12, 2022
- Last updated
- Nov 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A170949 | CA | Yes |
Practice location
525 N Garfield AveMonterey Park, CA 91754-1202
Phone 626-573-2222
Mailing address
Po Box 1754Monterey Park, CA 91754-8754
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