Individual
DR. DANIEL S. CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, FICPP
Contact information
Practice address
3733 ROSEMEAD BLVD, SUITE 201, ROSEMEAD, CA 91770-1981
(818) 229-6121
(818) 352-6262
Mailing address
11107 MCVINE AVE, SUNLAND, CA 91040-2121
(818) 229-6121
(818) 352-6262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY111400
—
CA
Enumeration date
07/14/2006
Last updated
10/25/2007
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