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Chan Medical Group
Specialist in Los Banos, California
NPI 1821177031

Chan Medical Group is a Specialist based in Los Banos, CA. Chan Medical Group practices in Los Banos, CA. The NPI Number for Chan Medical Group is 1821177031 and holds a License No. A257340 (California).

The current practice location address for Chan Medical Group is 600 W I St, Los Banos, CA and can be reached out via phone at 209-826-4771 and via fax at 209-826-8565.

Location: 600 W I St, Los Banos, CA, 93635-3460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821177031
Provider Name
Chan Medical Group
Credential
Provider Entity Type
Organization
Address
600 W I St, Los Banos, CA, 93635-3460
Phone Number
209-826-4771
Fax Number
209-826-8565
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ76229Z 05 CA
institution
Provider Business Practice Location Address Details
Address
600 W I St
City
Los Banos
State
California
Zip
93635-3460
Phone Number
209-826-4771
Fax Number
209-826-8565
person
Provider Business Mailing Address Details
Address
600 W I St
City
Los Banos
State
California
Zip
93635-3460
Phone Number
209-826-4771
Fax Number
209-826-8565
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A257340 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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