Jackie T. Chan, MD, Inc
Jackie T. Chan, MD, Inc is a Medical Specialty Clinic/Center in Modesto, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
413 E Orangeburg Ave Ste AModesto, CA 95350-5369
Phone: (209) 543-8880
Fax: (209) 529-1711
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence G077865 (CA) |
|---|---|
| Pain Clinic/Center | Taxonomy 261QP3300X · Licence G077865 (CA) |
Record details
| NPI number | 1396954921 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jackie Chan — President · (209) 529-4422 |
| NPI enumerated | May 21, 2007 |
| Last updated in NPPES | August 24, 2023 |
| Certification date | August 24, 2023 |
| Mailing address | 4120 Dale Rd, Ste J8 #232, Modesto, CA 95356-9239 |
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-
La Laser Center PC, a Professional Medical Corporation
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Theodore E. Staahl MD Inc
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