| Organization Name: | ONN T. CHAN M.D., INC. |
| NPI Number: | 1902094550 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ONN T. CHAN (PRESIDENT/OWNER) |
| Mailing Address: | 1135 E Route 66 Ste 106 Glendora |
| State: | CA US |
| Postal Code: | 917403769 |
| Phone Number: | 6263350588 |
| Fax Number: | 6268521526 |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |