MEDICARE: ADAM CHAN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E6080	CA

General Provider Information

NPI Number	:	1063152098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM CHAN DPM

Provider Business Mailing Address
First Line	:	9901 PARAMOUNT BLVD STE 202
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90240-3853
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9901 PARAMOUNT BLVD STE 202
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90240-3853
Country	:	US
Telephone Number	:	562-923-0371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	07/17/2025

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Directions to “ ADAM CHAN DPM” Practice Location

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