Chan United Medical Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

3832474 Issued in CA

Legal business name

CHAN UNITED MEDICAL GROUP, INC.

Practice address

1001 S Garfield Ave
Alhambra, CA 91801-4772

Phone

(626) 308-0138

Fax

(213) 626-7868

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Lynn Kim Tran, PA-CNPI 1346393196

Title

Owner

Phone

(626) 308-0138

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn Kim Tran, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1346393196
  Medicare reassignment Care Compare group Authorized official
• Kimberly Chan, M.D

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1295166692
  Medicare reassignment Care Compare group
• Victor N Le, M.D.

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1669767406
  Medicare reassignment
• Anna Wong, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1194037481
  Medicare reassignment

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1720452154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S GARFIELD AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014772",
            "telephone_number": "626-308-0138",
            "fax_number": "213-626-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GARFIELD AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014772",
            "telephone_number": "626-308-0138",
            "fax_number": "213-626-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAN UNITED MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-308-0138",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "3832474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195JHG76",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maritza Cha
• Christopher Chacon
• John Chae
• Richard Chak
• Maura Chamu Nestor
• Adley Chan, OTD, OTR/L
• Alexander Thuya Chan, MD
• CHI-Him Chan, OTR/L
• Chrystal Chan, LMFT, PPS
• Clement Chan, PA

• General Practice Physician in Alhambra, CA
• Providers in Alhambra, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.