Chan, Diana M

Chan, Diana M is an sole proprietor health care provider with primary practice located at 4199 Campus Dr Suite 550, Irvine CA 92612-4684. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chan, Diana M can be contacted via phone (949) 391-3658.

Contact Information

Primary practice address
4199 Campus Dr Suite 550 Irvine CA 92612-4684
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY22200 California

Profile Details

NPI number 1700145141
LBN Legal business name Chan, Diana M
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2012
Last updated Apr 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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