Individual provider · Type 1 NPI

Doris Chan, NP

Nurse Practitioner · San Gabriel, CA

NPI number 1063691004 Active

Practice location

506 W Valley Blvd Ste 100
San Gabriel, CA 91776-5716

Fax (626) 308-1899

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP009029 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063691004

Doris Chan, NP's National Provider Identifier is 1063691004, issued on Oct 26, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Gabriel, CA. The record was last updated on Nov 4, 2025.