JACQUELINE S CHAN DO A MEDICAL CORPORATION

Clinic/Center

Active Organization
NPI: 1194352930

Practice Address

1118 IRWIN ST
San Rafael, CA 94901

Phone: (415) 785-8652

Specialties

Specialty Code Primary License
Preventive Medicine - Undersea and Hyperbaric Medicine 2083P0011X No -
Clinic/Center 261Q00000X Yes -

Frequently Asked Questions

NPI 1194352930 is the National Provider Identifier for JACQUELINE S CHAN DO A MEDICAL CORPORATION, a Clinic/Center provider located in San Rafael, CA. This NPI was enumerated on March 23, 2020.

Quick Facts

NPI
1194352930
Type
Organization
Enumerated
Mar 23, 2020
Last Updated
Feb 4, 2026

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