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Dr. Jessica Loretta Chan, MD
Reproductive Endocrinology Physician in Los Angeles, California
NPI 1154659621

Jessica Loretta Chan is a Reproductive Endocrinology Physician based in Los Angeles, CA and is specialized in Reproductive Endocrinology. Jessica Loretta Chan practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Jessica Loretta Chan is 1154659621 and holds a License No. (California).

The current practice location address for Jessica Loretta Chan is 8635 W 3Rd St, Los Angeles, CA and can be reached out via phone at 310-423-5798.

Location: 8635 W 3Rd St, Los Angeles, CA, 90048-6101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154659621
Provider Name
Jessica Loretta Chan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8635 W 3Rd St, Los Angeles, CA, 90048-6101
Phone Number
310-423-5798
Fax Number
Provider Enumeration Date
11/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RES000 05 CA
institution
Provider Business Practice Location Address Details
Address
8635 W 3Rd St
City
Los Angeles
State
California
Zip
90048-6101
Phone Number
310-423-5798
Fax Number
person
Provider Business Mailing Address Details
Address
8635 W 3Rd St
City
Los Angeles
State
California
Zip
90048-6101
Phone Number
310-423-5798
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Reproductive Endocrinology
Taxonomy
207VE0102X
License No.
A115642 (California)
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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