Shirley M Chan
Obstetrics & Gynecology in Glendale, CA. Individual provider (NPI-1).
NPI number1609830348
StatusActive
Last updated in NPPESJun 27, 2011
Details
- NPI
- 1609830348
- Entity type
- Individual (NPI-1)
- Name
- Shirley M Chan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2006
- Last updated
- Jun 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | G58168 | CA | Yes |
Practice location
1505 Wilson TerraceSuite 350
Glendale, CA 91206-4072
Phone 818-243-8431 · Fax 818-247-9239
Mailing address
Po Box 80305City Of Industry, CA 91716-8305
Phone 818-243-8431 · Fax 818-247-9239
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