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General NPI Number Information
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NPI Number | 1265237895
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Entity Type | Organization
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Legal Business Name | ADAM M CHAN DPM INC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 17401 NICHOLS LN STE E
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-8716
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Country | US
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Telephone | 626-716-8510
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E OAKMONT DR
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City | MONTEBELLO
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State | CA
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Zip | 90640-2709
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. ADAM MATTHEW JUN-WEI ENG CHAN
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Credential | DPM
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Telephone | 626-716-8510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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