person
Vivian Lee Chan, PSYD
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1386875219

Vivian Lee Chan is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Vivian Lee Chan practices in Los Angeles, CA and has the professional credentials of PSYD. The NPI Number for Vivian Lee Chan is 1386875219 and holds a License No. IMF 48328 (California).

The current practice location address for Vivian Lee Chan is 1145 Gayley Ave Ste 322, Los Angeles, CA and can be reached out via phone at 310-208-7187.

Location: 1145 Gayley Ave Ste 322, Los Angeles, CA, 90024-3415
person
Provider Profile Details
NPI Number
1386875219
Provider Name
Vivian Lee Chan
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1145 Gayley Ave Ste 322, Los Angeles, CA, 90024-3415
Phone Number
310-208-7187
Fax Number
Provider Enumeration Date
07/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1145 Gayley Ave Ste 322
City
State
Zip
90024-3415
Phone Number
310-208-7187
Fax Number
person
Provider Business Mailing Address Details
Address
1145 Gayley Ave Ste 322
City
State
Zip
90024-3415
Phone Number
310-208-7187
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
IMF 48328 (California)
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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