KATHERINE VALERIE CHAN (NPI# 1104435205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104435205 |
| Entity Type | Individual |
| Full Name | KATHERINE VALERIE CHAN |
| Credential | MFT |
| Practice Address |
10710 Northgate St Culver City CA 90230-5419 |
| Practice Telephone | 4152722963 |
| Mailing Telephone | 4152722963 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
119262 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652577 | Katherine Fair Chan | Clinical Neuropsychologist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-07-31 |
| 1659844421 | Katherine Chan | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2019-01-04 |
| 1306368899 | Katherine Chan | Speech-Language Pathologist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2017-07-17 |
| 1366976037 | Katherine Chan | Pharmacist | 2525 Via Campo, Montebello, CA 90640-1806 | 2017-04-19 |
| 1407304231 | Katherine Maya Chan | Physical Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2016-09-21 |
| 1831647270 | Katherine Chan | Pharmacist | 2500 Merced St, Outpatient Pharmacy, 1st Floor, San Leandro, CA 94577-4201 | 2016-09-14 |
| 1003254012 | Katherine Lillian Chan | Family Medicine | 798 Executive Dr, Oviedo, FL 32765 | 2013-06-12 |
| 1821384801 | Katherine Chan | Pharmacist | 6169 W Stoner Dr Ste 180, Greenfield, IN 46140-6604 | 2011-06-28 |
| 1205041274 | Katherine Hubert Chan | Urology | 300 Longwood Ave, Department of Urology, Boston, MA 02115-5724 | 2007-05-13 |
| Street Address |
10710 NORTHGATE ST |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-5419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355369 | Carmen Condon | Counselor | 11303 W Washington Blvd Ste 027, Culver City, CA 90066-6003 | 2015-05-14 |
| 1437560927 | Lakieya Patterson | Counselor | 12099 W. Washington Blvd., Culver City, CA 90066 | 2014-05-19 |
| 1437580347 | Diana Shampansky | Counselor | 6101 W Centinela Ave Ste 380, Culver City, CA 90230-6367 | 2013-12-02 |
| 1770917767 | Kylie Alvarez | Counselor | 5731 W Slauson Ave Ste 220, Culver City, CA 90230-6984 | 2013-08-26 |
| 1275973810 | Lat Mental Health Management Inc. | Counselor | 11936 Jefferson Blvd Ste B, Culver City, CA 90230-6333 | 2013-06-27 |
| 1285073064 | Shahrzad-alexis Aria | Counselor | 6666 Circle Valley Circle, Culver City, CA 90230-7068 | 2013-06-14 |
| 1225243843 | Jon Kaysing | Counselor | 400 Corporate Pointe Ste A4000, Culver City, CA 90230-7615 | 2007-05-14 |
| 1881736494 | Lani Coral Crescenzi | Counselor | 4670 S. Sepulveda Blv., Culver City, CA 90230-5407 | 2007-02-12 |
| 1013075084 | Robert Michael Hirschhorn | Counselor | 6124 Buckingham Pkwy Unit 304, Culver City, CA 90230-7224 | 2006-12-04 |
| 1326693508 | Leah Charlotte Stryer | Counselor | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2019-08-05 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
Please comment or provide details below to improve the information on KATHERINE VALERIE CHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.