Individual
DR. CHRISTIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
477 E COLORADO BLVD, PASADENA, CA 91101-2024
(626) 796-1191
(626) 796-0189
Mailing address
477 E COLORADO BLVD, PASADENA, CA 91101-2024
(626) 796-1191
(626) 796-0189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12420T
CA
152W00000X
Optometrist
6270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0124200
—
CA
Enumeration date
08/31/2006
Last updated
11/22/2021
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