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DR. JANET C CHAN OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1356471205

Individual Registrant:
DR. JANET C CHAN OD
Gender: F
Sole Proprietor

Location and contact information for practice:
500 ALFRED NOBEL DR STE 138  HERCULES, CA 94547-1838 US
Tel: 510-724-1000  Fax: --

Contact information for business:
500 ALFRED NOBEL DR STE 138  HERCULES, CA 94547-1838 US
Tel: 510-724-1000  Fax: --

Registration Information:
NPI: 1356471205
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA11107T

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
SDO111070CA05




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