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NPI Code Detail

MEDICARE: TSZ CHUEN CHAN M.D.

MEDICARE: TSZ CHUEN CHAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianA130161CA

General Provider Information

NPI Number : 1457679946
Entity Type Code : Individual
Provider Name (Legal Business Name) : TSZ CHUEN CHAN M.D.
Provider Business Mailing Address
First Line : 150 W CIVIC CENTER DR STE 200
Second Line :
City : SANDY
State : UT
Zip : 84070-4284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24451 HEALTH CENTER DR
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-3689
Country : US
Telephone Number : 224-558-9268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2010
Last Update Date : 03/23/2026

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