Chan, Madonna

Chan, Madonna is an individual health care provider with primary practice located at 25825 Vermont Ave , Harbor City CA 90710-3518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Chan, Madonna can be contacted via phone (310) 325-5111.

Contact Information

Primary practice address
25825 Vermont Ave Harbor City CA 90710-3518
Phone: (310) 325-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA16004 California

Profile Details

NPI number 1710038815
LBN Legal business name Chan, Madonna
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Dec 22nd, 2021 - about 4 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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