| Doctor Name: | MR. CLEMENT CHAN |
| NPI Number: | 1063601904 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PA19219 |
| Business Practice Address: | 220 S 1st St Alhambra, CA - 918013700 |
| Business Phone Number: | 6262818663 |
| Business Fax Number: | 6262816318 |
| Mailing Address: | 220 S 1st St, ALHAMBRA |
| State: | CA |
| Postal Code: | 918013700 |
| Phone Number: | 6262818663 |
| Fax Number: | 6262816318 |
| NPI Enumeration Date: | 10/16/2007 |
| NPI Last Update Date: | 01/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA19219 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |