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1477596856
THEODORE C CHAN
LA JOLLA, CA
NPI
1477596856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G78148)
Enumeration Date
2006-06-14
Last Update Date
2008-05-08
Business Address
THEODORE C CHAN MD
9300 CAMPUS POINT DRIVE
LA JOLLA, CA 92037
Phone number: 858-657-7000
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Mailing Address
THEODORE C CHAN MD
FILE NO 54826
LOS ANGELES, CA 90074-4826
Phone number: 888-486-4340
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