Chan Family Medical Corp
NPI 1104470384 · General Practice Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chan Family Medical Corp is a General Practice Physician organization in Los Angeles, CA (NPI 1104470384).
Provider details
- NPI number
- 1104470384
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emmeline Chan, Vice President(323) 685-2070
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shiny Star Medical Center
Registry dates
- Enumerated
- 2019-07-26
- Last updated
- 2019-07-26
Frequently asked questions
- What is Chan Family Medical Corp's NPI number?
- Chan Family Medical Corp's National Provider Identifier (NPI) is 1104470384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chan Family Medical Corp?
- Chan Family Medical Corp is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Chan Family Medical Corp located?
- Chan Family Medical Corp's practice location on file with NPPES is 4070 E. Olympic Blvd, Los Angeles, CA 90023.
- What is Chan Family Medical Corp's phone number?
- The practice phone number listed in the NPPES registry for Chan Family Medical Corp is (323) 685-2070.
- Does Chan Family Medical Corp accept Medicare?
- Chan Family Medical Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Chan Family Medical Corp?
- The authorized official listed on Chan Family Medical Corp's NPPES record is Emmeline Chan, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chan Family Medical Corp's NPI active?
- Yes — Chan Family Medical Corp's NPI (1104470384) is active in the NPPES registry as of the last update on 2019-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.