Provider Demographics
NPI:1376547000
Name:DAM, MICHAEL CHAN (MD)
Entity Type:Individual
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First Name:MICHAEL
Middle Name:CHAN
Last Name:DAM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3080 BRISTOL ST
Mailing Address - Street 2:STE 600
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-7341
Mailing Address - Country:US
Mailing Address - Phone:714-445-0228
Mailing Address - Fax:714-445-0246
Practice Address - Street 1:681 S PARKER ST
Practice Address - Street 2:STE 100
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4719
Practice Address - Country:US
Practice Address - Phone:714-445-0220
Practice Address - Fax:714-445-0246
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2015-01-20
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Provider Licenses
StateLicense IDTaxonomies
CAG75506207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease