Chan, Vivian

Chan, Vivian is an individual health care provider with primary practice located at 795 Willow Rd , Menlo Park CA 94025-2539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Chan, Vivian can be contacted via phone (650) 493-5000.

Contact Information

Primary practice address
795 Willow Rd Menlo Park CA 94025-2539
Phone: (650) 493-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 14381 California

Profile Details

NPI number 1205899168
LBN Legal business name Chan, Vivian
Credentials MS, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 13th, 2026 - about 3 months 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 1205899168 NPPES
California Other 14381 NP FURNISHING NUMBER
California Other 553431 NP FURNISHING NUMBER

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