Jackyln Chan, Inc
Pediatrics
Jackyln Chan, Inc is a West Covina, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2707 E Valley Blvd Ste 215, West Covina, California - 91792-3197. They can be contacted on phone at
909-594-3382 and fax number 626-667-7633.
NPI number (Unique professional ID) for Jackyln Chan, Inc is
1700510898 which was assigned by NPPES on 13 Jul, 2022 and it was last updated on 13 Jul, 2022.
Jackyln Chan, Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jackyln Chan, Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jackyln Chan, Inc |
|---|
Business Address:
Jackyln Chan, Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2707 E Valley Blvd Ste 215
West Covina, CA, 91792-3197
United States |
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| Phone Number : | 909-594-3382 |
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| Fax Number : | 626-667-7633 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700510898 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Jul, 2022 |
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| Last Updated On : | 13 Jul, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jackyln Chan |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 909-630-8762 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackyln Chan, Inc are as mentioned. Primary taxonomy code for Jackyln Chan, Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Jackyln Chan, Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1447544333 | Other | CA | INDIVIDUAL TYPE 1 NPI |
| A130711 | Other | CA | CA MD STATE LICENSE # |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2434 S Tapestry Way
Anaheim, CA, 92802-6409
United States |
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| Phone Number : | 909-630-8762 |
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Business Location:
Patients can refer following map for directions to
Jackyln Chan, Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.