MEDICARE: GRACE 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
1	183500000X	Pharmacist	72850	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	72850	OTHER	CA	CALIFORNIA BOARD OF PHARMACY

General Provider Information

NPI Number	:	1871181164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE CHAN

Provider Business Mailing Address
First Line	:	11574 LOWER AZUSA RD
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-1333
Country	:	US
Telephone Number	:	626-350-3550
Fax Number	:

Provider Business Practice Location Address
First Line	:	11574 LOWER AZUSA RD
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-1333
Country	:	US
Telephone Number	:	626-350-3550
Fax Number	:

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

Provider Enumeration Date	:	01/04/2021
Last Update Date	:	01/04/2021

Similar Medicare Providers

1154429645 — GARFIELD BEACH CVS LLC
Practice Location Address:

11574 LOWER AZUSA RD
EL MONTE, CA
91732-1333

Practice Phone: 626-350-3550
Practice Fax:

1396118162 — CVS PHARMACY
Practice Location Address:

11574 LOWER AZUSA RD
EL MONTE, CA
91732-1333

Practice Phone: 626-350-3550
Practice Fax: 626-350-3557

1043761414 — CINDA WU
Practice Location Address:

11574 LOWER AZUSA RD
EL MONTE, CA
91732-1333

Practice Phone: 626-350-3550
Practice Fax:

1063956530 — MS. SHIRLEY VIEN-VUONG PHARM D.
Practice Location Address:

11574 LOWER AZUSA RD
EL MONTE, CA
91732-1333

Practice Phone: 626-350-3550
Practice Fax: 626-350-3557

1407819386 — R CHRISTIAN JESPERSON D.C.
Practice Location Address:

1333 N 2ND ST
EL CAJON, CA
92021-3434

Practice Phone: 619-444-4792
Practice Fax: 619-444-4892

1457385080 — JESPERSON CHIROPRACTIC INC
Practice Location Address:

1333 N 2ND ST
EL CAJON, CA
92021-3434

Practice Phone: 619-444-4792
Practice Fax: 619-444-4892

Directions to “ GRACE CHAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.