Jennifer Chan, is a
Social Worker - Clinical based in Los Angeles, California. Jennifer Chan is licensed to practice in California (license number 126293) and her current practice location is
1200 Wilshire Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 258-8885.
NPI number for Jennifer Chan is 1679829410 and her current mailing address is 1200 Wilshire Blvd, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679829410.
Healthcare Provider's Profile
Full Name | Jennifer Chan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1200 Wilshire Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679829410
- Provider Enumeration Date: 07/30/2012
- Last Update Date: 09/26/2024
Medical Identifiers
Medical identifiers for Jennifer Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679829410 | NPI | - | NPPES |
00000 | Other | CA | N/A |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 126293 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Chan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Chan, 1200 Wilshire Blvd, Los Angeles, CA 90017-1908 Ph: (213) 481-4260 | Jennifer Chan, 1200 Wilshire Blvd, Los Angeles, CA 90017-1908 Ph: (213) 258-8885 |
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