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Contact Information

JESSICA L CHAN, MD
8635 W 3RD ST
SUITE 160 WEST
LOS ANGELES, CA90048-6101
 Phone: 310-423-5798
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JESSICA L CHAN · (Female)

NPI Number 1154659621
Status Active
Credentials MD
Entity Individual
Enumeration date 11/21/2009
Last updated 11/17/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A115642
  • CA Medicaid RES000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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