Individual
GARY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
757 WESTWOOD PLZ STE 3304, LOS ANGELES, CA 90095-8358
(310) 267-8653
(310) 267-3766
Mailing address
757 WESTWOOD PLZ STE 3304, LOS ANGELES, CA 90095-8358
(310) 267-8653
(310) 267-3766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A166343
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
09/01/2020
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