| Chanwell Medical Group, Inc. | |
|
10615 S De Anza Blvd Cupertino CA 95014-4431 | |
| (408) 343-0888 | |
| (408) 343-0688 |
| Full Name | Chanwell Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 10615 S De Anza Blvd, Cupertino, California |
| Authorized Official Name and Position | Estrellita L Chan (VICE PRESIDENT) |
| Authorized Official Contact | 4082708668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chanwell Medical Group, Inc. 10615 S De Anza Blvd Cupertino CA 95014-4431 Ph: (408) 343-0888 | Chanwell Medical Group, Inc. 10615 S De Anza Blvd Cupertino CA 95014-4431 Ph: (408) 343-0888 |
| NPI Number | 1316040488 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 02/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316040488 | NPI | - | NPPES |
| GR0052602 | Medicaid | CA |
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