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NPI Code Detail

MEDICARE: DR. ALLEN W CHAN

MEDICARE: DR. ALLEN W 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
1111N00000XChiropractorDC29443CA
2171100000XAcupuncturist
3111N00000XChiropractorDC18356CA

General Provider Information

NPI Number : 1780699579
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. ALLEN W CHAN
Provider Business Mailing Address
First Line : 9871 CARMEL MOUNTAIN RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92129-2811
Country : US
Telephone Number : 858-484-0800
Fax Number : 858-484-2813
Provider Business Practice Location Address
First Line : 9871 CARMEL MOUNTAIN RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92129-2811
Country : US
Telephone Number : 858-484-0800
Fax Number : 858-484-2813
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : DR. ALLEN W CHAN
Credential : DC
Telephone Number : 858-484-0800
Provider Enumeration Date : 07/30/2006
Last Update Date : 09/11/2025

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