Organization Active NPI

Chanchal Dewan, MD.,F.a.a.P.,Inc.

  • Pediatrics Physician
  • La Habra, CA
National Provider Identifier
1891092086
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHANCHAL DEWAN, MD.,F.A.A.P.,INC.
Practice address
2250 W Whittier Blvd
Suite 100
La Habra, CA 90631-3470
Phone
(562) 690-4075
Fax
(562) 690-4185
NPI assigned
Feb 24, 2011
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Dr. Chanchal Dewan, M.D.
Title
President
Phone
(562) 690-4075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2250 W Whittier Blvd
Suite 100
La Habra, CA 90631-3470

Mailing address

2250 W Whittier Blvd
Suite 100
La Habra, CA 90631-3470
Phone (562) 690-4075

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1891092086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 W WHITTIER BLVD",
            "address_2": "SUITE 100",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313470",
            "telephone_number": "562-690-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 W WHITTIER BLVD",
            "address_2": "SUITE 100",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313470",
            "telephone_number": "562-690-4075",
            "fax_number": "562-690-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCHAL DEWAN, MD.,F.A.A.P.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "DEWAN",
        "authorized_official_first_name": "CHANCHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-690-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.