Individual
CHRISTINE W CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1368 E WALNUT ST, PASADENA, CA 91106-1528
(626) 796-3105
(626) 796-8816
Mailing address
1368 E WALNUT ST, PASADENA, CA 91106-1528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 12385 TPA
CA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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