Individual
LOREN RACHEL CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, RN
Contact information
Practice address
701 E 28TH ST, LONG BEACH, CA 90806-2759
(562) 270-3412
Mailing address
5132 E LIVINGSTON DR APT 8, LONG BEACH, CA 90803-5544
(650) 515-0360
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95011705
CA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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