DR. JESSICA LORETTA CHAN M.D. NPI 1154659621

NPI Information

NPI: 1154659621
Provider Name: DR. JESSICA LORETTA CHAN, M.D.
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

PECOS Registration: Yes

Address:
8635 W 3RD ST
SUITE 160 WEST
LOS ANGELES, CA
ZIP 90048
Phone: (310) 423-5798
Get Directions

DR. Jessica Loretta Chan, M.D. is a reproductive endocrinology obstetrics gynecology in Los Angeles, CA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. Jessica Loretta Chan, M.D. NPI is 1154659621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8635 W 3RD ST
SUITE 160 WEST
LOS ANGELES, CA
ZIP 90048-101
Phone: (310) 423-5798

The NPI 1154659621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2009 and was last updated on 11/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	A115642	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RES000	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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