Chan, David Deguire

Chan, David Deguire is an sole proprietor health care provider with primary practice located at 10840 Warner Ave Ste 103 , Fountain Valley CA 92708-3847. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Chan, David Deguire can be contacted via phone (714) 395-4595.

Contact Information

Primary practice address
10840 Warner Ave Ste 103 Fountain Valley CA 92708-3847
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A13372 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125057749 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 20A13372 California

Profile Details

NPI number 1497068688
LBN Legal business name Chan, David Deguire
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2010
Last updated Nov 21st, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497068688 NPPES
California MEDICAID 20A13372

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