Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE T. CHAN, M.D., INC.
Active OrganizationJACKIE T. CHAN, M.D., INC. is a Medical Specialty Clinic organization located in MODESTO, California. NPI 1396954921 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · MODESTO, CA
Registration Details
- NPI Number
- 1396954921
- Provider Type
- Organization
- NPI Issued
- May 21, 2007 (19.277034683473 yrs)
- Last Updated
- Aug 24, 2023
- Licenses
-
G077865 (CA)G077865 (CA)
Practice Information
- Address
-
413 E ORANGEBURG AVE STE AMODESTO, CA, 953505369Browse CA providers · Browse ZIP 95350
- Phone
- 2095438880
- Fax
- 2095291711
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
- Additional Specialty
- Medical Specialty Clinic
Other Medical Specialty Clinic Organizations in MODESTO, CA
| Name | NPI |
|---|---|
| ALEXANDER A DAVIS, MD INC | 1306039706 |
| THEODORE E. STAAHL MD INC | 1467767541 |
| LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION | 1003449703 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.