Brian Chan
Student in an Organized Health Care Education/Training Program in Loma Linda, CA. Individual provider (NPI-1).
NPI number1316632151
StatusActive
Last updated in NPPESApr 7, 2023
Details
- NPI
- 1316632151
- Entity type
- Individual (NPI-1)
- Name
- Brian Chan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2023
- Certification date
- Apr 5, 2023
- Last updated
- Apr 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
11234 Anderson StLoma Linda, CA 92354-2804
Phone 909-558-4671
Mailing address
11234 Anderson StreetGme Office Westerly Suite 'C'
Loma Linda, CA 92354-2804
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All 1,033 Student in an Organized Health Care Education/Training Program providers in Loma Linda · All 5,377 providers in Loma Linda
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