Chan, Jackie

Chan, Jackie is an individual health care provider with primary practice located at 201 Sandpointe Ave Ste 130 , Santa Ana CA 92707-5785. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Chan, Jackie can be contacted via phone (714) 557-9292.

Contact Information

Primary practice address
201 Sandpointe Ave Ste 130 Santa Ana CA 92707-5785
Phone: (714) 557-9292
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000014495 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 301538 California

Profile Details

NPI number 1285066837
LBN Legal business name Chan, Jackie
Credentials ATC, DPT, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2013
Last updated Nov 13th, 2022 - about 3 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.

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