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Jacqueline S Chan Do A Medical Corporation
Clinic/Center in San Rafael, California
NPI 1194352930

Jacqueline S Chan Do A Medical Corporation is a Clinic/Center based in San Rafael, CA. Jacqueline S Chan Do A Medical Corporation practices in San Rafael, CA. The NPI Number for Jacqueline S Chan Do A Medical Corporation is 1194352930 and holds a License No. (California).

The current practice location address for Jacqueline S Chan Do A Medical Corporation is 1118 Irwin St, San Rafael, CA and can be reached out via phone at 415-785-8652. You can also correspond with Jacqueline S Chan Do A Medical Corporation through the mailing address at 1118 IRWIN ST, SAN RAFAEL, CA - 94901-3322 (mailing address contact number: ).

Location: 1118 Irwin St, San Rafael, CA, 94901-3322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194352930
Provider Name
Jacqueline S Chan Do A Medical Corporation
Credential
Provider Entity Type
Organization
Address
1118 Irwin St, San Rafael, CA, 94901-3322
Phone Number
415-785-8652
Fax Number
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10041 01 CA CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1118 Irwin St
City
San Rafael
State
California
Zip
94901-3322
Phone Number
415-785-8652
Fax Number
person
Provider Business Mailing Address Details
Address
1118 Irwin St
City
San Rafael
State
California
Zip
94901-3322
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Undersea and Hyperbaric Medicine
Taxonomy
2083P0011X
License No.
()
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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