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Joshua Mon Chan

Student in an Organized Health Care Education/Training Program

Student, Health Care

101 The City Drive, City Tower, Suite 400, Orange, CA 92868

PECOS Enrollment

This provider is enrolled in PECOS as JOSHUA CHAN.

Based on the most recent information from CMS, provider Joshua Mon 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
1689317588
Provider Type
Individual
Full Name
Chan, Joshua Mon
Title
Dr.
Credential
DO, MS

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/18/2022
Last Updated
2/28/2025

Contact Information

Practice Location

101 The City Drive, City Tower, Suite 400, Orange, CA 92868

(714) 456-5691

Unlisted Fax

Mailing Location

101 The City Dr S Ste 400, Orange, CA 92868-3201

(714) 456-5691

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 23348 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Joshua Mon Chan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

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Code

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