Chan, Jessica Loretta
Chan, Jessica Loretta is an individual health care provider with primary practice located at 8635 W 3Rd St Suite 160 West, Los Angeles CA 90048-6101. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is her primary health care specialty. Chan, Jessica Loretta can be contacted via phone (310) 423-5798.Contact Information
Primary practice address
8635 W 3Rd St Suite 160 West
Los Angeles CA 90048-6101
Phone: (310) 423-5798
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | A115642 | California |
Profile Details
| NPI number | 1154659621 |
|---|---|
| LBN Legal business name | Chan, Jessica Loretta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2009 |
| Last updated | Nov 17th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154659621 | NPPES |
| California | MEDICAID | RES000 |
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