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NPI Code Detail

MEDICARE: DAVID MANUEL CHAN

MEDICARE: DAVID MANUEL CHAN
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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1598006256
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MANUEL CHAN
Provider Business Mailing Address
First Line : 209 E 7TH ST
Second Line :
City : MADERA
State : CA
Zip : 93638-3780
Country : US
Telephone Number : 559-395-0451
Fax Number : 559-268-7518
Provider Business Practice Location Address
First Line : 209 E 7TH ST
Second Line :
City : MADERA
State : CA
Zip : 93638-3780
Country : US
Telephone Number : 559-395-0451
Fax Number : 559-661-2818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2013
Last Update Date : 03/16/2026

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Directions to “ DAVID MANUEL CHAN ” Practice Location

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