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General NPI Number Information
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NPI Number | 1265498505
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Entity Type | Individual
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Provider Name | DANIEL K CHAM MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 714 W SANTA ANITA ST STE B
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City | SAN GABRIEL
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State | CA
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Zip | 91776
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Country | US
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Telephone | 626-576-1755
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Fax | 626-576-1755
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Provider Business Mailing Address
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Address Line | 1014 S MARENGO AVE #6
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City | ALHAMBRA
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State | CA
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Zip | 91803
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Country | US
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Telephone | 626-282-0686
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Fax | 626-282-0686
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A86714
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License Number State | CA
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