Provider Demographics
NPI:1497876254
Name:CHAN, CANDY KAIHING (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CANDY
Middle Name:KAIHING
Last Name:CHAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 S CHAPEL AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4827
Mailing Address - Country:US
Mailing Address - Phone:323-459-3136
Mailing Address - Fax:
Practice Address - Street 1:709 FREMONT AVE STE C
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-2560
Practice Address - Country:US
Practice Address - Phone:626-507-5655
Practice Address - Fax:626-507-5656
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98768207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist