Individual
JOEL ANTEOL CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
756 LAKEFIELD RD, SUITE C, WESTLAKE VILLAGE, CA 91361-2673
(805) 496-3838
(419) 866-8453
Mailing address
756 LAKEFIELD RD STE C, WESTLAKE VILLAGE, CA 91361-2673
(805) 496-3838
(805) 496-7418
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
A62548
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A62548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A625480
—
CA
Enumeration date
10/05/2006
Last updated
09/28/2022
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