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Carmen Ka-Man Chan

Student in an Organized Health Care Education/Training Program

Student, Health Care

Uc Irvine Health 101 The City Drive S, Orange, CA 92868

PECOS Enrollment

This provider is enrolled in PECOS as CARMEN CHAN.

Based on the most recent information from CMS, provider Carmen Ka-Man Chan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1437646627
Provider Type
Individual
Full Name
Chan, Carmen Ka-Man
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/13/2018
Last Updated
10/31/2023

Contact Information

Practice Location

Uc Irvine Health 101 The City Drive S, Orange, CA 92868

(714) 456-5753

Unlisted Fax

Mailing Location

Uc Irvine Health 101 The City Drive S, Orange, CA 92868

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Carmen Ka-Man Chan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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