Individual
ROXANNE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2811 WILSHIRE BLVD, SANTA MONICA, CA 90403-4803
(310) 456-7828
Mailing address
1048 IRVINE AVE # 782, NEWPORT BEACH, CA 92660-4602
(310) 456-7828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
152382
MA
2085R0202X
Diagnostic Radiology Physician
Primary
A82201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A822010
—
CA
Enumeration date
08/22/2006
Last updated
06/14/2025
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