Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 00G307720 | CA |
N | 111NI0900X | Internist | 00G307720 | CA |
N | 207RH0003X | Hematology & Oncology | 00G307720 | CA |
NPI | 1033155213 |
---|---|
Provider Name | Dr. Edward Y C Chan |
First Address | San Francisco, CA 94133-4449 |
Second Address | San Francisco, CA 94133-4457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G307720 | (02) | CA |