Sanny K Chan, Md, Phd, Inc
LBN: Sanny K Chan, Md, Phd, Inc
Sanny K Chan, Md, Phd, Inc is an health care organization with primary practice located at 1301 20Th St Ste 220 , Santa Monica CA 90404-2080. The organization 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 the primary health care specialty.
Sanny K Chan, Md, Phd, Inc can be contacted via phone (310) 401-1434, or through Chan, Sanny K via phone (720) 515-9810.
Contact Information
Primary practice address
1301 20Th St Ste 220
Santa Monica CA 90404-2080
Phone: (310) 401-1434
Fax: (310) 453-8468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1457925109 |
|---|---|
| LBN Legal business name | Sanny K Chan, Md, Phd, Inc |
| DBA Doing business as | |
| Authorized official | Chan, Sanny K MD, PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2021 |
| Last updated | May 17th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457925109 | NPPES |
| Colorado | Other | 346419YLSH | MEDICARE PIN |
| Colorado | MEDICAID | 1043449788 | MEDICARE PIN |
| Colorado | MEDICAID | 333357366 | MEDICARE PIN |
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