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MS. DORIS S CHAN RN,FNP
Critical Care Medicine >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1912393257
Individual Registrant:MS. DORIS S CHAN RN,FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2516 E WILLOW ST UNIT 110 SIGNAL HILL, CA 90755-6327 US
Tel: 562-595-4011 Fax: --
Tel: 562-595-4011 Fax: --
Contact information for business:
2516 E WILLOW ST UNIT 110 SIGNAL HILL, CA 90755-6327 US
Tel: 562-595-4011 Fax: --
Tel: 562-595-4011 Fax: --
Registration Information:
NPI: 1912393257
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WC0200X | Nursing Service Providers Registered Nurse Critical Care Medicine | CA | RN462249 |
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 11387 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
