Individual ProviderEugene T. ChanEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4445 Magnolia Ave, Riverside, CA 92501-4135(951) 788-3000(510) 350-2600PECOS EnrollmentBased on the most recent information from CMS, provider Eugene T. 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 2 days ago.Profile DetailsProvider ID1952414674Provider TypeIndividualFull NameChan, Eugene T.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/16/2006Last Updated10/2/2007Contact InformationPractice LocationPractice Address4445 Magnolia Ave, Riverside, CA 92501-4135Phone(951) 788-3000Fax(951) 788-3201Mailing LocationMailing Address2100 Powell St, Suite 900, Emeryville, CA 94608-1826Phone(510) 350-2600Fax(510) 879-9100Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA55104CaliforniaProvider IdentifiersIDDescriptionIssuerID00A551040DescriptionMedicaidIssuerUnlistedCalifornia