Individual
DIANA M CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4199 CAMPUS DR, SUITE 550, IRVINE, CA 92612-4684
(949) 391-3658
Mailing address
4199 CAMPUS DR, SUITE 550, IRVINE, CA 92612-4684
(949) 391-3658
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22200
CA
Other
Enumeration date
05/04/2012
Last updated
04/05/2013
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