Individual provider · Type 1 NPI

Justin Chan

Student in an Organized Health Care Education/Training Program · Harbor City, CA

NPI number 1255265138 Active

Practice location

25825 Vermont Ave
Harbor City, CA 90710-3518

Call (833) 574-2273 Map

Mailing address

1034 E Charlinda St
West Covina, CA 91790-3807

Other practice locations

  • 2125 Wright Ave Ste C8, La Verne, CA 91750-5815 · (760) 503-1700

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X21890 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255265138

Justin Chan's National Provider Identifier is 1255265138, issued on Jun 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Harbor City, CA. The record was last updated on Aug 3, 2026.