Individual
DR. JONATHAN JAMES WANGLUN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
248 HAMPSHIRE RD STE 100, THOUSAND OAKS, CA 91361-2401
(805) 370-0040
(304) 598-4871
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C194944
CA
207RP1001X
Pulmonary Disease Physician
Primary
C194944
CA
Other
Enumeration date
05/26/2014
Last updated
08/27/2024
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