Samuel C Chan (NPI# 1841371200, PAC ID# 7517142979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1841371200 |
| PAC ID by PECOS | 7517142979 |
| Professional Enrollment ID | I20110428000260 |
| Full Name | Samuel C Chan |
| Organization Legal Name | COAST CITY MEDICAL GROUP INC |
| Address |
13091 Kerry St Garden Grove CA 92844-1638 |
| Phone Number | 7146388811 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7012207186 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 13091 Kerry St, Garden Grove, CA 92844-1638 | 7146388811 | COAST CITY MEDICAL GROUP INC |
| Organization Legal Name | COAST CITY MEDICAL GROUP INC |
| Physicians | 1 |
| Street Address |
13091 KERRY ST |
| City | GARDEN GROVE |
| State | CA |
| Zip | 92844-1638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dong Joon Yoon | Chiropractic | 8281 Garden Grove Blvd, Suite C, Garden Grove, CA 92844-1082 | |
| William L Ngo | General Practice | 8342 Garden Grove Blvd, Suite 5, Garden Grove, CA 92844-1151 | |
| Dae-choong Kim | Internal Medicine | 8862 Garden Grove Blvd, Suite 102, Garden Grove, CA 92844-1212 | |
| Theodore H Kwon | General Practice | 9042 Garden Grove Blvd, Suite 299, Garden Grove, CA 92844-1370 | |
| Steven S Yoo | Optometry | 9042 Garden Grove Blvd, Suite 110, Garden Grove, CA 92844-1370 | |
| Seon Hoon S Kim | Chiropractic | 9240 Garden Grove Blvd, Suite 2, Garden Grove, CA 92844-1400 | |
| Douglas G Lee | Oral Surgery | 9432 Garden Grove Blvd, Garden Grove, CA 92844-1453 | |
| Sharon S Baek | Chiropractic | 9681 Garden Grove Blvd, Suite 102, Garden Grove, CA 92844-1545 | |
| Daeuk Kim | Oral Surgery | Jin Jin Dental Inc | 9681 Garden Grove Blvd, Suite 104, Garden Grove, CA 92844-1548 |
| Sung Wook Park | Oral Surgery | Jin Jin Dental Inc | 9681 Garden Grove Blvd, Suite 104, Garden Grove, CA 92844-1548 |
| Find all physicians in zip 92844 | |||
| City | GARDEN GROVE |
| Zip Code | 92844 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | GARDEN GROVE + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.