Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A85761 | CA |
NPI | 1417006701 |
---|---|
Provider Name | Yen Hoang Chan |
First Address | Huntington Beach, CA 92615-5280 |
Second Address | Los Angeles, CA 90033-1029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 24/01/2019 |