Individual
JAMES CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 LA VENTA DR, #207, WESTLAKE VILLAGE, CA 91361-3702
(805) 497-9484
(805) 495-2572
Mailing address
1250 LA VENTA DR, #207, WESTLAKE VILLAGE, CA 91361-3702
(805) 497-9484
(805) 495-2572
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C38198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C38198
—
CA
Enumeration date
06/28/2006
Last updated
07/08/2007
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