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NPI Code Detail

MEDICARE: DR. WAN CHUNG CHI M.D.

MEDICARE: DR. WAN CHUNG CHI M.D.
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
1208100000XPhysical Medicine & Rehabilitation PhysicianA76199CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942208335
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WAN CHUNG CHI M.D.
Provider Business Mailing Address
First Line : 268 BUSH ST
Second Line : 3401
City : SAN FRANCISCO
State : CA
Zip : 94104-3503
Country : US
Telephone Number : 415-353-6539
Fax Number : 415-591-5845
Provider Business Practice Location Address
First Line : 900 HYDE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-4806
Country : US
Telephone Number : 415-353-6539
Fax Number : 415-591-5845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 01/30/2016

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