Provider Demographics
NPI:1306291794
Name:CHAN, JOY MARGARET (MD)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:MARGARET
Last Name:CHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16111 PLUMMER STREET
Mailing Address - Street 2:NEUROLOGY SERVICE
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-3634
Mailing Address - Country:US
Mailing Address - Phone:650-892-5796
Mailing Address - Fax:
Practice Address - Street 1:16111 PLUMMER STREET
Practice Address - Street 2:NEUROLOGY SERVICE
Practice Address - City:SEPULVEDA
Practice Address - State:CA
Practice Address - Zip Code:91343
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1532622084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology