Individual
VANESSA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 HUGHES WAY STE 150, LONG BEACH, CA 90810-1870
(323) 597-2850
Mailing address
1500 HUGHES WAY STE 150, LONG BEACH, CA 90810-1870
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20A15922
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2016
Last updated
07/21/2020
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