Marilynn Chan

M.D. | Pediatric Pulmonology | Female

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Complete Profile:

Marilynn Chan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Marilynn Chan
Credential :	M.D.
Gender :	Female

Business Address:

Marilynn Chan 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 :	3020 Childrens Way San Diego, CA, 92123-4223 United States
Phone Number :	858-966-5841

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 :	1710273701
NPI Entity Type :	Individual
First Enrolment Date :	28 Jun, 2011
Last Updated On :	21 Jul, 2022

Medicare Participation:

Marilynn Chan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8729358569
Medicare Enrollment ID :	I20170726003454
Primary Specialty :	Pulmonary Disease
Medical School :	University Of California, San Diego School Of Medicine
Graduation Year :	2011
Accepts Medicare?	Yes. Marilynn Chan accepts medicare insurance.

Group Practice Association:

Marilynn Chan is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Marilynn Chan is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ucsf Pediatrics Associates	6204749112	80	505 Parnassus Ave San Francisco, CA - 941432204 Ph: 4154761000	Yes

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 Marilynn Chan are as mentioned. Primary taxonomy code for Marilynn Chan, M.D. is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	A123085	CA
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	A123085	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
400 PARNASSUS AVE, SAN FRANCISCO, CA, 94143-2202 United States	SAN FRANCISCO, CA	415-476-1000

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 :	3020 Childrens Way # Mc5064 San Diego, CA, 92123-4223 United States
Phone Number :	858-966-5841

Business Location:

Patients can refer following map for directions to Marilynn Chan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.