Provider Demographics
NPI:1952689572
Name:ANGELA SIN LWAY CHAN MD INC
Entity Type:Organization
Organization Name:ANGELA SIN LWAY CHAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:SIN LWAY
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-927-1307
Mailing Address - Street 1:7615 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BELL GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90201-4509
Mailing Address - Country:US
Mailing Address - Phone:562-927-1307
Mailing Address - Fax:562-927-0978
Practice Address - Street 1:7615 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:BELL GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90201-4509
Practice Address - Country:US
Practice Address - Phone:562-927-1307
Practice Address - Fax:562-927-0978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center