Healthcare Provider Details

I. General information

NPI: 1932023660
Provider Name (Legal Business Name): RYAN KA-WAI CHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 POST ST FL 3
SAN FRANCISCO CA
94115-3470
US

IV. Provider business mailing address

555 BRYANT ST APT 520
SAN FRANCISCO CA
94107-4616
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-7582
  • Fax:
Mailing address:
  • Phone: 403-607-0118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number10891319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: