Individual
JENNIFER OLIVIA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 932-6330
(925) 932-0139
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 932-6330
(925) 932-0139
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A87218
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A87218
CA
Other
Enumeration date
06/05/2007
Last updated
11/13/2024
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