NPI | 1225338007 |
---|---|
Former Legal Business Name | CHANWELL MEDICAL GROUP, INC |
Entity Type | Organization |
Authorized Contact | ESTRELLITA LUA CHAN Vice President 408-586-8866 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207Q00000X Family Medicine |
207RS0012X Internal Medicine, Sleep Medicine | |
208000000X Pediatrics | |
261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
Enumeration Date | 2010-10-27 |
Last Update Date | 2013-12-06 |