Kenneth D Chan Md Inc

LBN: Kenneth D Chan Md Inc
Kenneth D Chan Md Inc is an health care organization with primary practice located at 789 Vallejo Street , San Francisco CA 94133-3834. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Kenneth D Chan Md Inc can be contacted via phone (415) 982-6691, or through Chan, Kenneth Dong via phone (415) 982-6691.

Contact Information

Primary practice address
789 Vallejo Street San Francisco CA 94133-3834
Phone: (415) 982-6691
Fax: (415) 982-0914
Website:
Map and Directions
Authorized official contact:
Name: Chan, Kenneth Dong Doctor of Medicine (MD)
Phone: (415) 982-6691

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G42953 California

Profile Details

NPI number 1538207048
LBN Legal business name Kenneth D Chan Md Inc
DBA Doing business as
Authorized official Chan, Kenneth Dong Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Jan 27th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538207048 NPPES
California MEDICAID 00G429530

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