| Stephanie Chan, Md Inc | |
|
3727 W 6th St Ste 411 Los Angeles CA 90020-5112 | |
| (424) 587-0863 | |
| Not Available |
| Full Name | Stephanie Chan, Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3727 W 6th St Ste 411, Los Angeles, California |
| Authorized Official Name and Position | Stephanie Chan (FOUNDER) |
| Authorized Official Contact | 3109639699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Chan, Md Inc 21143 Hawthorne Blvd # 251 Torrance CA 90503-4615 Ph: (424) 587-0863 | Stephanie Chan, Md Inc 3727 W 6th St Ste 411 Los Angeles CA 90020-5112 Ph: (424) 587-0863 |
| NPI Number | 1912698838 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912698838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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