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Contact Information

BRYAN P CHAN, MD
980 E FOOTHILL BLVD
STE 104
UPLAND, CA91786
 Phone: 909-920-3578
 Fax: 909-949-1238
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Acupuncturist

171100000X
 

Homeopath

175L00000X
Indicates primary specialty

NPI Profile & details for BRYAN P CHAN · (Male)

NPI Number 1417059957
Status Active
Credentials MD
Entity Individual
Enumeration date 09/04/2006
Last updated 06/14/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A48504
  • CA License # AC 7887
  • NV License # 9007
  • CA Medicaid 00A485040
Hospital affiliation(s)
  • SAN ANTONIO COMMUNITY HOSPITAL - (Acute Care)
    999 SAN BERNARDINO RD
    UPLAND, CA 91786
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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