Chan, Larry C

Chan, Larry C is an sole proprietor health care provider with primary practice located at 685 N 13Th Ave Ste 9 , Upland CA 91786-4963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Chan, Larry C can be contacted via phone (909) 981-8383.

Contact Information

Primary practice address
685 N 13Th Ave Ste 9 Upland CA 91786-4963
Phone: (909) 981-8383
Fax: (909) 920-3054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N4980 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 006974 Arizona
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 20A13480 California

Profile Details

NPI number 1215259221
LBN Legal business name Chan, Larry C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2010
Last updated Jul 21st, 2022 - about 4 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 1215259221 NPPES
Arizona Other 860816346 TAX ID
Arizona MEDICAID 163704 TAX ID

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