Chan, Connie
Chan, Connie is an sole proprietor health care provider with primary practice located at 525 N Garfield Ave , Monterey Park CA 91754-1202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Chan, Connie can be contacted via phone (626) 307-2129.Contact Information
Primary practice address
525 N Garfield Ave
Monterey Park CA 91754-1202
Phone: (626) 307-2129
Fax: (626) 307-2056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20A6654 | California |
Profile Details
| NPI number | 1639105745 |
|---|---|
| LBN Legal business name | Chan, Connie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Feb 18th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639105745 | NPPES |
| California | MEDICAID | 00AX66540 |
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