Chan, Jennessa

Chan, Jennessa is an individual health care provider with primary practice located at 4772 Katella Ave Ste 100 , Los Alamitos CA 90720-2681. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Chan, Jennessa can be contacted via phone (562) 430-8700.

Contact Information

Primary practice address
4772 Katella Ave Ste 100 Los Alamitos CA 90720-2681
Phone: (562) 430-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 18809 California

Profile Details

NPI number 1720567860
LBN Legal business name Chan, Jennessa
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2018
Last updated Aug 9th, 2018 - about 6 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

Identifiers

StateTypeNumberIssuer
All States NPI 1720567860 NPPES
California Other 18809 CALIFORNIA BOARD OF OCCUPATIONAL THERAPY

Popular Providers