Individual
DR. JANET C CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
500 ALFRED NOBEL DR STE 138, HERCULES, CA 94547-1838
(510) 724-1000
Mailing address
500 ALFRED NOBEL DR STE 138, HERCULES, CA 94547-1838
(510) 724-1000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11107T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SDO111070
—
CA
Enumeration date
03/07/2007
Last updated
10/19/2007
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