CHAN FAMILY MEDICAL CORP
NPI 1104470384
General Practice in Los Angeles, CA

Q: What is Chan Family Medical Corp's NPI number?

The NPI number for Chan Family Medical Corp is 1104470384. It was assigned to this organization in the NPPES registry on July 26, 2019. The provider is doing business as Shiny Star Medical Center.

Q: What is Chan Family Medical Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 26, 2019

4070 E. OLYMPIC BLVD, LOS ANGELES, CA 90023(323) 685-2070(323) 685-2077 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Chan Family Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAN FAMILY MEDICAL CORP (NPI 1104470384), doing business as Shiny Star Medical Center, is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since July 2019. The organization lists Emmeline Chan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1104470384

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCHAN FAMILY MEDICAL CORP

Location Address4070 E. OLYMPIC BLVDLos Angeles, CA 90023

Mailing Address4070 E. Olympic BlvdLos Angeles, CA 90023 · (323) 685-2070 · Fax (323) 685-2077

Phone(323) 685-2070

Fax(323) 685-2077

Organization SubpartNo

Authorized OfficialEmmeline ChanVice President · (323) 685-2070

Enumeration DateJuly 26, 2019

✔ NPI 1104470384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4070 E. OLYMPIC BLVD, Los Angeles, CA 90023

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Other Names 1

Doing Business AsShiny Star Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chan Family Medical Corp's NPI number?

The NPI number for Chan Family Medical Corp is 1104470384. It was assigned to this organization in the NPPES registry on July 26, 2019. The provider is doing business as Shiny Star Medical Center.

Where is Chan Family Medical Corp located?

Chan Family Medical Corp is located at 4070 E. Olympic Blvd, Los Angeles, CA 90023. The listed phone number is (323) 685-2070.

What is Chan Family Medical Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Chan Family Medical Corp was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.