Chan, Justin Le
Chan, Justin Le is an individual health care provider with primary practice located at 925 S Garfield Ave , Alhambra CA 91801-4442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chan, Justin Le can be contacted via phone (626) 282-0282.Contact Information
Primary practice address
925 S Garfield Ave
Alhambra CA 91801-4442
Phone: (626) 282-0282
Fax: (626) 282-0939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G79829 | California |
Profile Details
| NPI number | 1003818501 |
|---|---|
| LBN Legal business name | Chan, Justin Le |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1003818501 | NPPES |
| California | MEDICAID | 00G798290 |
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