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NPI Code Detail

MEDICARE: MAILIN CHAN

MEDICARE:   MAILIN  CHAN
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
1101YS0200XSchool CounselorLCSW66405CA

General Provider Information

NPI Number : 1730329855
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAILIN CHAN
Provider Business Mailing Address
First Line : 1515 W MISSION RD
Second Line :
City : ALHAMBRA
State : CA
Zip : 91803-1618
Country : US
Telephone Number : 626-943-3410
Fax Number :
Provider Business Practice Location Address
First Line : 1515 W MISSION RD
Second Line :
City : ALHAMBRA
State : CA
Zip : 91803-1618
Country : US
Telephone Number : 626-943-3410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2009
Last Update Date : 01/12/2026

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Directions to “ MAILIN CHAN ” Practice Location

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