EDMOND L CHAN MD A MEDICAL CORPORATION
NPI 1174824221
Clinic/Center - Medical Specialty in Poway, CA

Q: What is Edmond L Chan MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since November 05, 2010

15708 POMERADO RD # N107, POWAY, CA 92064(858) 485-5921(858) 485-1445 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edmond L Chan Md A Medical Corporation NPPES

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

EDMOND L CHAN MD A MEDICAL CORPORATION (NPI 1174824221) is a healthcare organization registered as a medical specialty in Poway, California and active in the NPI registry since November 2010. The organization lists Veronica A Renteria, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174824221

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameEDMOND L CHAN MD A MEDICAL CORPORATION

Location Address15708 POMERADO RD # N107Poway, CA 92064-2066

Mailing Address15708 Pomerado Rd # N107Poway, CA 92064-2066 · (858) 485-5921 · Fax (858) 485-1445

Phone(858) 485-5921

Fax(858) 485-1445

Organization SubpartNo

Authorized OfficialVeronica A RenteriaOffice Manager · (858) 485-5921

Enumeration DateNovember 5, 2010

Last NPPES UpdateMay 4, 2015

✔ NPI 1174824221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in CA · A89731

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

15708 POMERADO RD # N107, Poway, CA 92064

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Other Identifiers 1

OtherEC809ACA · Ptan

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 Edmond L Chan MD A Medical Corporation's NPI number?

The NPI number for Edmond L Chan MD A Medical Corporation is 1174824221. It was assigned to this organization in the NPPES registry on November 5, 2010.

Where is Edmond L Chan MD A Medical Corporation located?

Edmond L Chan MD A Medical Corporation is located at 15708 Pomerado Rd # N107, Poway, CA 92064. The listed phone number is (858) 485-5921.

What is Edmond L Chan MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Edmond L Chan MD A Medical Corporation was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.