BRYAN P CHAN

Dr BRYAN P CHAN is a male medical professional, specializing in Family Medicine. He graduated in 1979.

Contact

1148 SAN BERNARDINO RD
E102
UPLAND
CA
917861901

Tel: 9099203578

BRYAN P CHAN Information

Npi 1417059957
Pac Id 5799973384
Professional Enrollment Id I20101227000162
Last Name CHAN
First Name BRYAN
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1979
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1148 SAN BERNARDINO RD
Line 2 Street Address E102
Marker Of Address Line 2 Suppression
City UPLAND
State CA
Zip Code 917861901
Phone Number 9099203578
Hospital Affiliation Ccn 1 050099
Hospital Affiliation Lbn 1 SAN ANTONIO REGIONAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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