Individual ProviderAndy ChanRegistered NurseNursing Service ProvidersPractice Address606 E Valley Pkwy, Escondido, CA 92025-3008(760) 740-4215PECOS EnrollmentBased on the most recent information from CMS, provider Andy Chan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1104086594Provider TypeIndividualFull NameChan, AndyCredentialRNGenderMaleSole ProprietorNoEnumeration Date6/10/2008Last Updated6/10/2008Contact InformationPractice LocationPractice Address606 E Valley Pkwy, Escondido, CA 92025-3008Phone(760) 740-4215Fax(760) 740-4003Mailing LocationMailing Address606 E Valley Pkwy, Escondido, CA 92025-3008Phone(760) 740-4215Fax(760) 740-4003Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense704401California