Daniel Yue-King Chan, PHD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

DRH065 Issued in CA

Practice address

430 S Cataract Ave
San Dimas, CA 91773-2902

Phone

(424) 645-7575

Fax

(424) 644-2575

NPI assigned

Apr 24, 2019

Last updated

Apr 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1831753839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S CATARACT AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732902",
            "telephone_number": "424-645-7575",
            "fax_number": "424-644-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S CATARACT AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732902",
            "telephone_number": "424-645-7575",
            "fax_number": "424-644-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DANIEL",
        "middle_name": "YUE-KING",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "CA",
            "license": "DRH065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Century Emergency Medical GRP
• Stephany Cervantes
• Christina Chai
• Tanya Marie Chala
• Cheryl Chan
• Jennifer Chan
• Jennifer Tze-Kei Chan, OD
• Rose Chang
• Stephanie Hsin-Yin Chang, D.O.
• Vasavi Charathram, LMFT

• Clinical Laboratory Director (Non-physician) in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Clinical Laboratory Director (Non-physician) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.