Chan, Adrienne Carol Mar

Chan, Adrienne Carol Mar is an individual health care provider with primary practice located at 1625 East 4Th Street , Los Angeles CA 90033. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacy Technician, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Chan, Adrienne Carol Mar can be contacted via phone (323) 268-8391.

Contact Information

Primary practice address
1625 East 4Th Street Los Angeles CA 90033
Phone: (323) 268-8391
Fax: (858) 633-4702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 101049 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 53152 California

Profile Details

NPI number 1699134098
LBN Legal business name Chan, Adrienne Carol Mar
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2016
Last updated Apr 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers