Healthcare Provider Details

I. General information

NPI: 1184662629
Provider Name (Legal Business Name): MAJED CHANE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18800 MAIN ST SUITE 103
HUNTINGTON BEACH CA
92648-1707
US

IV. Provider business mailing address

18800 MAIN ST SUITE 103
HUNTINGTON BEACH CA
92648-1707
US

V. Phone/Fax

Practice location:
  • Phone: 714-842-8100
  • Fax: 714-842-8181
Mailing address:
  • Phone: 714-842-8100
  • Fax: 714-842-8181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberAO64376
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: