| Jaime Chan Od A Professional Corporation | |
|
1024 Mission St Ste B, South Pasadena, CA 91030-3198 | |
| (626) 460-6022 | |
| Not Available |
| Full Name | Jaime Chan Od A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1024 Mission St Ste B, South Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356808364 | NPI | - | NPPES |
| 1114374220 | Other | NY | NPI |
| 1114374220 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jaime Chan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114374220 PECOS PAC ID: 8123354776 Enrollment ID: I20190719002226 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Chan Od A Professional Corporation 1024 Mission St Ste B, South Pasadena, CA 91030-3198 Ph: (626) 460-6022 | Jaime Chan Od A Professional Corporation 1024 Mission St Ste B, South Pasadena, CA 91030-3198 Ph: (626) 460-6022 |
Dr. Jamila Shani Wallace, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1103 Fair Oaks Ave, South Pasadena, CA 91030 Phone: 626-441-0770 | |
Dr. Irene Nora Sang, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 Fax: 626-441-2880 | |
Frederick R. Harris, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1941 Huntington Dr, Suite F, South Pasadena, CA 91030 Phone: 626-799-2212 | |
Dr. Jaime Chan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1024 Mission St Ste B, South Pasadena, CA 91030 Phone: 626-460-6022 | |
Dr. Shelly Holcomb Lowe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 Fax: 626-441-2880 | |
Dr. Hripsime Shirvanian, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1024 Mission St, Suite B, South Pasadena, CA 91030 Phone: 626-460-6022 Fax: 626-460-6024 | |
Christina Liu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 |