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1104480912
ANDY M CHAN
SAN DIEGO, CA
NPI
1104480912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20A20352)
Enumeration Date
2019-04-26
Last Update Date
2023-11-13
Business Address
ANDY M CHAN DO
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103-2105
Phone number: 619-294-8111
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Mailing Address
ANDY M CHAN DO
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103-2105
Phone number:
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