DR. Edmond Chan, M.D.

NPI #1699764761 in Poway, California

Provider Information

NPI Number: 1699764761
Entity Type: Individual
Name: DR. Edmond Chan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Oct 20, 2005
Last Updated: Nov 16, 2020

Practice Location

Address: 15708 POMERADO RD
Address 2: SUITE N107
City: Poway
State: California
ZIP Code: 92064-2066
Phone: (858) 485-5921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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