Individual provider · Type 1 NPI

Jennifer Chan

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

NPI number 1255875209 Active

Practice location

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Call (310) 751-5344 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1255875209

Jennifer Chan's National Provider Identifier is 1255875209, issued on Dec 9, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Culver City, CA. The record was last updated on Dec 9, 2016.