Edwin Chan MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

EDWIN CHAN MD INC

Practice address

624 W Duarte Rd
# 208
Arcadia, CA 91007-7603

Phone

(626) 446-3608

Fax

(626) 446-3817

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Chan, M.D.NPI 1053427427

Title

M.D.

Phone

(626) 446-3608

Specialties & licenses 2

Addresses

Practitioners 1

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

• Edwin Tak-Wing Chan, M.D.

  • Family Medicine Physician
  • Arcadia, CA
  • NPI 1053427427
  NPD Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1922141217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 WEST DUARTE RD",
            "address_2": "# 208",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-446-3608",
            "fax_number": "626-446-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD",
            "address_2": "# 208",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077603",
            "telephone_number": "626-446-3608",
            "fax_number": "626-446-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN CHAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "626-446-3608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Hospice Inc
• Edgar Olivas M.D., Inc
• Edream Dental Group
• Abigail Elizabeth Edwards, M.A.
• Dominique Edwards
• Omoye Ehimare
• Elation Home Health Inc.
• Aaron Elder
• Misha Elder, LCSW
• Eldrist Dialysis LLC (Arcadia Oaks Dialysis)

• Medical Specialty Clinic/Center in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.