Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lai Hin Kimi Chan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104488600

Lai Hin Kimi Chan is a Student in an Organized Health Care Education/Training Program in West Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

954 Sacramento Ave
West Sacramento, CA 95605-1904
Phone: (916) 914-2650
Fax: (530) 924-4752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A181960 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104488600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2019
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing address470 Chadbourne Rd, Fairfield, CA 94534-9600

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