Luis Wing-Cheong Chan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

88400 Issued in CA

Practice address

13806 Dogwood Ave
Chino, CA 91710-7401

Phone

(909) 217-2689

NPI assigned

Sep 5, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1073399002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13806 DOGWOOD AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107401",
            "telephone_number": "909-217-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13806 DOGWOOD AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107401",
            "telephone_number": "909-217-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "LUIS",
        "middle_name": "WING-CHEONG",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "88400",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "88400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariandrea Cerpa Tyler, PT, DPT, OCS
• Joshua Cetina, RD
• Tajinder Singh Chahal
• Janice Chan
• Joseph Gawon Chan, DO
• Yeou Ren Chan, DDS
• Subash Chander, M.D
• Carina Ya-Chun Chang, NP
• Casper Chang, AMFT
• Chia Ning Chang, L.AC., PH.D.

• Pharmacist in Chino, CA
• Providers in Chino, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.