Individual provider · Type 1 NPI
Loren Rachel Chan, CPNP-PC, RN
Pediatric Nurse Practitioner · Long Beach, CA
NPI number
1366083099
Active
Practice location
701 E 28th St
Long Beach, CA 90806-2759
Mailing address
5132 E Livingston Dr Apt 8
Long Beach, CA 90803-5544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95011705 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1366083099
Loren Rachel Chan, CPNP-PC, RN's National Provider Identifier is 1366083099, issued on Oct 3, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Long Beach, CA. The record was last updated on Oct 3, 2019.