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Organization
STEPHANIE CHAN, MD INC
Active
Organization
STEPHANIE CHAN, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE CHAN MD (FOUNDER)
(310) 963-9699
Entity
Organization
Contact information
Practice address
3727 W 6TH ST STE 411, LOS ANGELES, CA 90020-5112
(424) 587-0863
Mailing address
21143 HAWTHORNE BLVD # 251, TORRANCE, CA 90503-4615
(424) 587-0863
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
05/19/2023
Last updated
07/05/2023
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