DR. Kingman Chan

NPI #1629486691 in La Puente, California

Provider Information

NPI Number: 1629486691
Entity Type: Individual
Name: DR. Kingman Chan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 23, 2014
Last Updated: Jul 23, 2014

Practice Location

Address: 1425 N HACIENDA BLVD
City: La Puente
State: California
ZIP Code: 91744-1133
Phone: (626) 251-1906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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