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Alice A Chan

  • Female

Medical Specialty

Professional ID

  • NPI: 1144380312
  • PECOS ID: 8123016862
  • Enrollment ID: I20040503000968
  • Credential(MD, DO, DPM): MD
  • Medical School: State University Of New York Downstate Medical Center
  • Medical School Graduation Year: 1978

Hospital Service

  • Hospital CCN1: 050686
  • Business Name (LBN)1: Kaiser Foundation Hospital, Riverside

Medical Practices

  • Organization Name: Southern California Permanente Medical Group
  • Group Practice ID assigned by PECOS: 6002729175
  • Number of Group Practice member: 8102

Location

  • Address1: 10800 Magnolia Ave
  • Address2:
  • City: Riverside
  • State: California
  • Zip Code: 92505
  • Phone Number: (951)353-2000

Location

  • Address1: 75036 Gerald Ford Dr
  • Address2:
  • City: Palm Desert
  • State: California
  • Zip Code: 92211
  • Phone Number: (866)883-0119

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):