Edmond L Chan MD a Medical Corporation
NPI #1174824221 in Poway, California
Provider Information
- NPI Number
- 1174824221
- Entity Type
- Organization
- Organization Name
- Edmond L Chan MD a Medical Corporation
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Nov 5, 2010
- Last Updated
- May 4, 2015
Practice Location
- Address
- 15708 POMERADO RD # N107
- City
- Poway
- State
- California
- ZIP Code
- 92064-2066
- Phone
- (858) 485-5921
Authorized Official
- Name
- VERONICA A RENTERIA
- Title
- OFFICE MANAGER
- Phone
- (858) 485-5921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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