Chan Family Medical Corp
General Practice

Address: 4070 E. Olympic Blvd, Los Angeles, CA 90023
Phone: 3236852070

Chan Family Medical Corp (NPI# 1104470384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1104470384
Entity Type Organization
Practice Address 4070 E. Olympic Blvd
Los Angeles
CA 90023
Practice Telephone 3236852070
Practice Fax Number 3236852077
Mailing Address 4070 E. Olympic Blvd
Los Angeles
CA 90023
Mailing Telephone 3236852070
Mailing Fax Number 3236852077
Authorized Official Name Emmeline Chan (VICE PRESIDENT)
Authorized Official Telephone 3236852070
Authorized Official Credential M.D
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-07-26
Last Update Date 2019-07-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Shiny Star Medical Center Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Office Location

Street Address 4070 E. OLYMPIC BLVD
State CA
Zip Code 90023

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275059511 Jeff Moreno Psychoanalyst 550 Vermount Ave, Los Angeles, CA 90023 2017-08-18
1457714297 Isabel Garcia Counselor 4543 Sabina Street, Los Angeles, CA 90023 2016-03-30
1275950115 Daniel Lemor Ophthalmology 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 2014-03-27
1073951992 Behavioral Health Services, Inc. Community/Behavioral Health 2515 Whittier Blvd., Los Angeles, CA 90023 2013-06-13
1003115312 H.r.imankhan,dds,inc Dentist 3356 E. Olympic Blvd, Los Angeles, CA 90023 2011-03-25
1508006297 Ricca Tinnin Physician Assistant 1200 N State St., Dept E.r., La, CA 90023 2009-02-20
1538366851 Sun Heung Lui Counselor 3421 E. Olympic Blvd., Los Angeles, CA 90023 2007-06-29
1851519623 Atlantic Recovery Services Community/Behavioral Health 3225 Flunter St, Estrada Courts Sea, Los Angeles, CA 90023 2007-04-24
1548486947 Manasseh C Nwaigwe General Practice 1159 S. Lorena St, Los Angeles, CA 90023 2007-04-17
1689898835 Leonora Guerrero Eslao Dentist 2901 Whittier Blvd, Ste D, Los Angeles, CA 90023 2007-04-12
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Zip Code 90023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.