Edmond L Chan MD a Medical Corporation
NPI 1174824221 · Medical Specialty Clinic/Center · Poway, CA
Edmond L Chan MD a Medical Corporation is a Medical Specialty Clinic/Center organization in Poway, CA (NPI 1174824221).
Provider details
- NPI number
- 1174824221
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Veronica Renteria, Office Manager(858) 485-5921
- License
- A89731 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Registry dates
- Enumerated
- 2010-11-05
- Last updated
- 2015-05-04
Frequently asked questions
- What is Edmond L Chan MD a Medical Corporation's NPI number?
- Edmond L Chan MD a Medical Corporation's National Provider Identifier (NPI) is 1174824221, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edmond L Chan MD a Medical Corporation?
- Edmond L Chan MD a Medical Corporation is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Edmond L Chan MD a Medical Corporation located?
- Edmond L Chan MD a Medical Corporation's practice location on file with NPPES is 15708 Pomerado Rd # N107, Poway, CA 92064-2066.
- What is Edmond L Chan MD a Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Edmond L Chan MD a Medical Corporation is (858) 485-5921.
- Who is the authorized official for Edmond L Chan MD a Medical Corporation?
- The authorized official listed on Edmond L Chan MD a Medical Corporation's NPPES record is Veronica Renteria, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edmond L Chan MD a Medical Corporation's NPI active?
- Yes — Edmond L Chan MD a Medical Corporation's NPI (1174824221) is active in the NPPES registry as of the last update on 2015-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.