Healthcare Provider Details

I. General information

NPI: 1235345943
Provider Name (Legal Business Name): RAYMOND YAN-KWONG CHAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 8TH ST SUITE 201
OAKLAND CA
94607-3963
US

IV. Provider business mailing address

435 8TH ST SUITE 201
OAKLAND CA
94607-3963
US

V. Phone/Fax

Practice location:
  • Phone: 510-251-2288
  • Fax: 510-835-7700
Mailing address:
  • Phone: 510-251-2288
  • Fax: 510-835-7700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License NumberDC18757
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberDC18757
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberDC18757
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License NumberMTA22600
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: