JOHN CHAN PA – NPI #1447306980
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

JOHN CHAN is a physician located in PERRIS, CA. NPPES has assigned the NPI number 1447306980 to JOHN CHAN on January 26, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN CHAN below.

NPI Profile for
JOHN CHAN

NPI Number
1447306980
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN CHAN
Credentials
PA
Primary location
215 W 4TH ST
PERRIS, CA 92570-2010
Phone: (951) 486-5700 Fax: (951) 486-5705
Mailing address
PO BOX 7270
MORENO VALLEY, CA 92552-7270
Phone: (951) 486-5700 Fax: (951) 486-5705
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
CA PA11478

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.