Jackie Chan is a Pico Rivera, California based male podiatrist who is specialized in Podiatric Foot & Ankle Surgery. Active license number of Jackie Chan for Podiatric Foot & Ankle Surgery is E2120 in California. Jackie Chan provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Jackie Chan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Gender:
Male
Practice Address:
8337 Telegraph Rd, Suite 206, Pico Rivera, California, 90660-4909
Phone:
562-806-1862
Fax:
562-928-6542
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417026881
NPI Enumeration Date:
07 Nov, 2006
NPI Last Update On:
14 Sep, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackie Chan are as mentioned below.
License Number
Specialization
State
Status
E2120
Podiatric Foot & Ankle Surgery
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jackie Chan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00021200
Medicaid
California
E2120
Other
California
CA MEDICAL LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8337 Telegraph Rd, Suite 206 Pico Rivera, California
Zip:
90660-4909
Phone Number:
562-806-1862
Fax Number:
562-928-6542
Patients can reach Jackie Chan at 8337 Telegraph Rd, Suite 206, Pico Rivera, California or can call to book an appointment on 562-806-1862. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.