Jennifer R. Chan in Hawthorne - Family Medicine
Jennifer R. Chan - NPI 1396756102
Jennifer R. Chan is a Family Medicine in Hawthorne, California. Jennifer R. Chan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennifer R. Chan is 1396756102. The last update date is 2022-07-21.
Jennifer R. Chan's current location address is 12618 Hawthorne Blvd., Hawthorne, California. You can contact this provider via phone number 3102635700. The mailing address for Jennifer R. Chan is 12618 Hawthorne Blvd., Hawthorne, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer R. Chan |
|---|---|
| Address | 12618 Hawthorne Blvd., Hawthorne, California |
| Phone Number | 3102635700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396756102 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 12618 Hawthorne Blvd. |
|---|---|
| City | Hawthorne |
| State | California (CA) |
| Post Code | 902502325 |
| Phone Number | 3102635700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD12989 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 088054-01 | HI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jennifer R. Chan by the Centers for Medicare & Medicaid Services?
The Jennifer R. Chan has been issued the NPI (National Provider Identifier) 1396756102. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jennifer R. Chan?
The Jennifer R. Chan is physically situated at 12618 Hawthorne Blvd., in the city of Hawthorne, state of CA, with the postal code 902502325.
What is the Jennifer R. Chan's specialty and taxonomy code?
The Jennifer R. Chan's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396756102 to Jennifer R. Chan?
The Centers for Medicare & Medicaid Services originally issued the 1396756102 to Jennifer R. Chan on 2006-08-10.
As of what date were the details pertaining to Jennifer R. Chan last refreshed?
The information related to the Jennifer R. Chan, including its address, specialty, and other relevant details, was last updated on 2022-07-21.
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