Organization · Type 2 NPI

Edmond L Chan MD A Medical Corporation

Medical Specialty Clinic/Center · Poway, CA

NPI number 1174824221 Active

Practice location

15708 Pomerado Rd # N107
Poway, CA 92064-2066

Fax (858) 485-1445

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XA89731 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1174824221

Edmond L Chan MD A Medical Corporation's National Provider Identifier is 1174824221, issued on Nov 5, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Poway, CA. The record was last updated on May 4, 2015.