Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK FONG CHAN JR., MD
Active Sole ProprietorDR. JACK FONG CHAN JR., MD is a Pediatrics healthcare provider located in SARATOGA, California. NPI 1447770136 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SARATOGA, CA
Registration Details
- NPI Number
- 1447770136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2017 (9.1781597234555 yrs)
- Last Updated
- Jul 21, 2022
- License
-
G21437 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12212 SCULLY AVESARATOGA, CA, 950703339Browse CA providers · Browse ZIP 95070
- Phone
- 4089213303
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in SARATOGA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MARGARET SMYKLO | MD | 1366523581 |
| DR. BETH JO BERKOWITZ | M.D. | 1821137100 |
| ANGELA MARIE CONDIE | M.D. | 1013030840 |
| WALLACE TSANG | M.D. | 1952851321 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.