ALBERT WAI-TUCK CHAN


Address: 10833 Le Conte Ave, Room B2-375 Mdcc, Los Angeles, CA 90095-3075
Phone: 3102066197

ALBERT WAI-TUCK CHAN (NPI# 1447462957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447462957
Entity Type Individual
Full Name ALBERT WAI-TUCK CHAN
Credential MD
Practice Address 10833 Le Conte Ave
Room B2-375 Mdcc
Los Angeles
CA 90095-3075
Mailing Address Po Box 20722
San Jose
CA 95160-0722
Practice Telephone 3102066197
Enumeration Date 2007-05-04
Last Update Date 2016-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics A97533 CA Allopathic & Osteopathic Physicians
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
A97533 CA Allopathic & Osteopathic Physicians

Other Providers ALBERT CHAN

NPI Name Taxonomy Address Enumeration
1891800405 Albert Cua Chan Obstetrics & Gynecology 2301 Maple Ave, South Plainfield, NJ 07080-5418 2006-08-21
1962048157 Albert Jinli Chan Dentist 5303 Lincoln Ave, Cypress, CA 90630-2235 2019-11-22
1568919843 Albert Chan Pharmacist 412 E College Way, Mount Vernon, WA 98273-5516 2016-09-05
1780943068 Albert Ka-ming Chan Pediatrics 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2012-05-08
1669598629 Albert Chan Internal Medicine 1 Hospital Dr, Columbia, MO 65212-0001 2007-03-22
1356426886 Albert Chan Family Medicine 795 El Camino Real, Palo Alto, CA 94301-2302 2006-10-25
1306921705 Albert D. Chan Orthopaedic Surgery 1959 Ne Pacific St, Seattle, WA 98195 2006-10-25
1427154905 Albert Chan Pharmacist 800 Poly Pl, Brooklyn, NY 11209-7104 2006-09-15
1831292234 Albert C Chan Pharmacist 2600 Center St Ne, Oregon State Hospital, Salem, OR 97301 2006-09-07
1386641744 Albert V Chan Jr. Internal Medicine 9500 Euclid Ave, Wl20, Cleveland, OH 44195-0001 2005-06-30

Office Location

Street Address 10833 LE CONTE AVE
ROOM B2-375 MDCC
City LOS ANGELES
State CA
Zip Code 90095-3075

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598761942 Dennis Goldfinger Specialist 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2005-06-21
1972129427 Matthew Joseph Heinz Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-06-21
1255955803 Airton D Soares Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-05-29
1073137626 Gonzalo Nicolas Olaverria Salavaggione Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-05-29
1780204990 Maira Hinojosa Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-17
1053930537 Jeong Min Kim Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-14
1972122778 Mojan Mirnia Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-11
1902435779 Kaitlin Elizabeth Fusco Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-03
1487283313 Jonathan Douglas Gatto Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-02
1578191839 Abhishek Venkataramana Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-1430 2020-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982212155 Alexandra Gubin Social Worker Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 2020-07-14
1952926263 Georgina Parra Student in an Organized Health Care Education/Training Program 10833 Le Conteave, Los Angeles, CA 90095 2020-06-11
1609403575 Yagmur Muftuoglu Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 2020-03-23
1619438173 Brandon Covington Smith Student in an Organized Health Care Education/Training Program 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 2019-03-27
1184184913 Alexander Daniel Yuen Student in an Organized Health Care Education/Training Program 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 2019-03-19
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1427549146 Courtney Renee' Real Registered Nurse 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 2018-05-29
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Orthopaedic Surgery 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104214196 Estrellita Rubio Reyes Pediatrics 3908 Beverly Blvd., Los Angeles, CA 90004 2014-12-30
1528055456 Yang Kim Pediatrics 500 S Virgil Ave # 2047a, Los Angeles, CA 90020 2005-10-05
1801248588 Neonatal Specialty Care Medical Care, Inc. Pediatrics 1401 S Grand Ave, Los Angeles, CA 90015-3010 2016-07-06
1427467497 Maria Gabriela Dominguez Garcia Pediatrics 2051 Marengo St, Los Angeles, CA 90033-1352 2014-08-04
1205112786 Loew-tefft Neonatal Medical Group Pediatrics 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 2011-10-27
1326335233 Arlene Espiritu Haigh Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027 2011-06-30
1073804332 Claire Elizabeth Baldauf Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2011-04-21
1033421920 Sarah Renee Volz Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027 2010-07-08
1467788265 Ruby George Pediatrics 1200 N State Street, Ird Building, Room # 820, Los Angeles, CA 90033 2009-10-29
1104066570 Newborn Special Care Medical Group Pediatrics 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 2009-02-25
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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