Chan, Marjorie M.

Chan, Marjorie M. is an individual health care provider with primary practice located at 3090 Bristol St Ste 200 , Costa Mesa CA 92626-3061. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Chan, Marjorie M. can be contacted via phone (888) 789-9585.

Contact Information

Primary practice address
3090 Bristol St Ste 200 Costa Mesa CA 92626-3061
Phone: (888) 789-9585
Fax: (562) 803-4500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 20829 California

Profile Details

NPI number 1174811624
LBN Legal business name Chan, Marjorie M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Nov 3rd, 2021 - about 5 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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