Individual
CHRISTOPHER RYAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
403 WEST ADAMS BLVD, LOS ANGELES, CA 90007
(213) 742-1402
(213) 742-1103
Mailing address
403 WEST ADAMS BLVD, LOS ANGELES, CA 90007-2664
(213) 742-1402
(213) 742-1103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521963
—
CA
Enumeration date
10/08/2012
Last updated
08/23/2018
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