Chan, Sanny K

Chan, Sanny K is an individual health care provider with primary practice located at 1301 20Th St Ste 220 , Santa Monica CA 90404-2080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Chan, Sanny K can be contacted via phone (310) 401-1434.

Contact Information

Primary practice address
1301 20Th St Ste 220 Santa Monica CA 90404-2080
Phone: (310) 401-1434
Fax: (310) 453-8468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 54201 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A108449 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54201 Colorado
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X A108449 California

Profile Details

NPI number 1043449788
LBN Legal business name Chan, Sanny K
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated May 17th, 2021 - about 5 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 1043449788 NPPES
Colorado MEDICAID 333357366

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