Albert Jinli Chan, DDS
Dentist, General Practice in Cypress, CA. Individual provider (NPI-1).
NPI number1962048157
StatusActive
Last updated in NPPESJul 10, 2020
Details
- NPI
- 1962048157
- Entity type
- Individual (NPI-1)
- Name
- Albert Jinli Chan
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2019
- Certification date
- Jul 10, 2020
- Last updated
- Jul 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 104622 | CA | Yes |
Practice location
5303 Lincoln AveCypress, CA 90630-2235
Phone 716-826-6688
Mailing address
5303 Lincoln AveCypress, CA 90630-2235
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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