Individual
ANDREW CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5151 STATE UNIVERSITY DR, LOS ANGELES, CA 90032-4226
(323) 343-4700
Mailing address
5151 STATE UNIVERSITY DR, LOS ANGELES, CA 90032-4226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017835
CA
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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