Jackie Chan, DPM
NPI #1417026881 in Pico Rivera, California
Provider Information
- NPI Number
- 1417026881
- Entity Type
- Individual
- Name
- Jackie Chan, DPM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Credential
- DPM
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Sep 14, 2012
Practice Location
- Address
- 8337 TELEGRAPH RD
- Address 2
- SUITE 206
- City
- Pico Rivera
- State
- California
- ZIP Code
- 90660-4909
- Phone
- (562) 806-1862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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