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Onn T. Chan M.d., Inc.
General Practice Physician in Glendora, California
NPI 1902094550

Onn T. Chan M.d., Inc. is a General Practice Physician based in Glendora, CA. Onn T. Chan M.d., Inc. practices in Glendora, CA. The NPI Number for Onn T. Chan M.d., Inc. is 1902094550 and holds a License No. (California).

The current practice location address for Onn T. Chan M.d., Inc. is 1135 E Route 66 Ste 106, Glendora, CA and can be reached out via phone at 626-335-0588 and via fax at 626-852-1526.

Location: 1135 E Route 66 Ste 106, Glendora, CA, 91740-3769
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902094550
Provider Name
Onn T. Chan M.d., Inc.
Credential
Provider Entity Type
Organization
Address
1135 E Route 66 Ste 106, Glendora, CA, 91740-3769
Phone Number
626-335-0588
Fax Number
626-852-1526
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00A164110 05 CA
institution
Provider Business Practice Location Address Details
Address
1135 E Route 66 Ste 106
City
Glendora
State
California
Zip
91740-3769
Phone Number
626-335-0588
Fax Number
626-852-1526
person
Provider Business Mailing Address Details
Address
1135 E Route 66 Ste 106
City
Glendora
State
California
Zip
91740-3769
Phone Number
626-335-0588
Fax Number
626-852-1526
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
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Definition
Definition to come...
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