DR. JENNIFER TAN CHAN (NPI# 1598912321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598912321 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER TAN CHAN |
| Other Name | DR. JENNIFER ANGELA TAN |
| Credential | M.D. |
| Practice Address |
6041 Cadillac Ave Ste 220 Los Angeles CA 90034-1702 |
| Mailing Address |
1533 18th St Apt 3 Santa Monica CA 90404-3473 |
| Practice Telephone | 3105970640 |
| Mailing Telephone | 3105970640 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2015-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A92109 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685458 | Jennifer Chan | Physician Assistant | 57 Cliffside Dr, Daly City, CA 94015-1042 | 2020-09-25 |
| 1922618867 | Jennifer Chan | Specialist/Technologist | 1281 Calle Cecilia, San Dimas, CA 91773-4435 | 2020-08-05 |
| 1861048324 | Jennifer Chan | Optometrist | 19800 Hawthorne Blvd Ste 200, Torrance, CA 90503-1520 | 2019-08-12 |
| 1447734439 | Jennifer Tze-kei Chan | Optometrist | 120 W Bonita Ave Ste A, San Dimas, CA 91773-5000 | 2018-09-17 |
| 1326323973 | Jennifer Chan | Pharmacist | 3668 Auckland Castle St, Las Vegas, NV 89135-2816 | 2011-10-14 |
| 1295069045 | Jennifer M Chan | Dentist | Wright Patterson Afb Hospital, Wright Patterson Afb, OH 45433 | 2009-09-28 |
| 1245364231 | Jennifer Nicole Chan | Physician Assistant | 107 Sunflower Dr, Pflugerville, TX 78660-4110 | 2007-03-14 |
| 1184763195 | Jennifer Chan | Plastic Surgery | Sandia Plastic Surgery, 1020 Tijeras Ave. Ne, Albuquerque, NM 87106-4749 | 2007-02-06 |
| 1750372785 | Jennifer Lisa Chan | Emergency Medicine | 10 Vining St, Neville House, Boston, MA 02115-6114 | 2005-10-31 |
| 1225658768 | Jennifer Chan | Physician Assistant | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-04-24 |
| Street Address |
6041 CADILLAC AVE STE 220 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
| 1528571874 | Brelian Medical Inc. | Internal Medicine | 711 W College St Ste 203, Los Angeles, CA 90012-3177 | 2017-11-08 |
| 1487097119 | Jonathan S Pourmorady | Internal Medicine | 2080 Century Park E Ste 710, Los Angeles, CA 90067-2010 | 2013-04-11 |
| 1578806089 | David Alexanian | Internal Medicine | 1200 N State Street, Ct-a7d, Los Angeles, CA 90033 | 2013-04-03 |
| 1942597265 | Inpatient Gastroenterology Services, Inc. | Internal Medicine | 116 S Croft Ave, 301, Los Angeles, CA 90048-3448 | 2011-07-07 |
| 1609190354 | Alexander H Kim | Internal Medicine | 1828 E Cesar Chavez, Suite 6200, Los Angeles, CA 90033-2585 | 2010-03-24 |
| 1508008301 | Marvin Anton Perer | Internal Medicine | 2258 The Ter, Los Angeles, CA 90049-1171 | 2009-03-25 |
| 1285874990 | Hamed Nayeb-hashemi | Internal Medicine | 200 Med Plaza #365, 420, 120, Los Angeles, CA 90095-6082 | 2009-02-20 |
| 1952553380 | Andrew Heejoon Kim | Internal Medicine | 1414 S Grand Ave Ste 303, Los Angeles, CA 90015-3071 | 2008-10-16 |
| 1750533261 | Puja Vora Khanna | Internal Medicine | 110 N George Burns Rd, David Building D4063, Los Angeles, CA 90048-1830 | 2008-10-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.