Chan, Susana So Ching

Chan, Susana So Ching is an individual health care provider with primary practice located at 7200 Bancroft Ave , Oakland CA 94605-2403. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Gerontology. Nursing Service Providers / Gerontology is her primary health care specialty. Chan, Susana So Ching can be contacted via phone (510) 828-4308.

Contact Information

Primary practice address
7200 Bancroft Ave Oakland CA 94605-2403
Phone: (510) 828-4308
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 462255 California
Nursing Service Providers / Gerontology 163WG0600X 462255 California

Profile Details

NPI number 1396496808
LBN Legal business name Chan, Susana So Ching
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2022
Last updated Jan 17th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396496808 NPPES
California Other 462255 CALIFORNIA BOARD OF REGISTERED NURSING

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