LISA A CHAN (NPI# 1740581420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740581420 |
| Entity Type | Individual |
| Full Name | LISA A CHAN |
| Credential | D.D.S. |
| Practice Address |
2468 Overland Ave Los Angeles CA 90064-3334 |
| Practice Telephone | 3108392371 |
| Mailing Telephone | 3108392371 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
33260 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
| 1053861179 | Lisa Chan | Pharmacist | 61 Avenue W Apt 2h, Brooklyn, NY 11223-5629 | 2016-10-12 |
| 1508185273 | Lisa S Chan | Dentist | 1551 Ocean Ave Ste 260, Santa Monica, CA 90401-2112 | 2010-05-20 |
| 1831128446 | Lisa Mika Chan | Physician Assistant | 18133 Old Trail Ln, Fountain Valley, CA 92708-6859 | 2006-07-03 |
| 1366062325 | Lisa Chan | Student in an Organized Health Care Education/Training Program | 967 N Broadway, Medical Education Dept., Yonkers, NY 10701-1301 | 2020-04-20 |
| 1295197747 | Lisa Chan | Family Medicine | 720 8th Ave S, Seattle, WA 98104 | 2016-03-23 |
| 1639540925 | Lisa Chan | Nurse Practitioner | 7105 3rd Ave, Brooklyn, NY 11209-1308 | 2015-10-12 |
| 1396033171 | Lisa M Chan | Acupuncturist | 4115 South St, Lakewood, CA 90712-1043 | 2011-07-14 |
| 1871806240 | Lisa Y Chan | Anesthesiology | One Medical Center Dr, Lebanon, NH 03756-0001 | 2010-07-14 |
| 1447482260 | Lisa Chan | Psychologist | 100 N Academy Ave, Gmc Division of Psychiatry, Danville, PA 17822-9800 | 2009-08-12 |
| Street Address |
2468 OVERLAND AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349082 | Reza Mehr | Dentist | 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 | 2020-08-31 |
| 1396355590 | Kamyar Moradian | Dentist | 9201 Venice Blvd, Los Angeles, CA 90034-3324 | 2020-08-04 |
| 1669096160 | Leora H Sheily Dds PC | Dentist | 4852 Melrose Ave, Los Angeles, CA 90029-3736 | 2020-06-01 |
| 1013539535 | Smit Dangaria Dds Phd Inc | Dentist | 1325 S Harvard Blvd, Los Angeles, CA 90006-4229 | 2020-05-07 |
| 1912530585 | Sara Bahri Sabokpey | Dentist | 2001 Stradella Rd, Los Angeles, CA 90077-2322 | 2020-02-21 |
| 1518504497 | Jonathan Dye | Dentist | 1626 Palo Alto St Apt 102, Los Angeles, CA 90026-5052 | 2019-12-10 |
| 1972147940 | Catherine Margary Cuaco Begazo | Dentist | 100 S Doheny Dr Apt 209, Los Angeles, CA 90048-2926 | 2019-11-03 |
| 1386285427 | Jefferson Dental Corporation | Dentist | 12013 Wilshire Blvd, Los Angeles, CA 90025-1201 | 2019-09-30 |
| 1043868698 | Semyon Segal | Dentist | 2815 W Sunset Blvd Ste 106, Los Angeles, CA 90026-2168 | 2019-08-27 |
| 1144875592 | Jay Singh | Dentist | 11346 Iowa Ave Apt 203, Los Angeles, CA 90025-6085 | 2019-08-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on LISA A CHAN.
| 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.