DR. PERRY CHAN (NPI# 1760454581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760454581 |
| Entity Type | Individual |
| Full Name | DR. PERRY CHAN |
| Credential | PH.D. |
| Practice Address |
4301 Lost Hills Rd Calabasas Hills CA 91301-5358 |
| Mailing Address |
20606 Clark St Woodland Hills CA 91367-6823 |
| Practice Telephone | 8188808040 |
| Mailing Telephone | 8183482547 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
CHANS5 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
4301 LOST HILLS RD |
| City | CALABASAS HILLS |
| State | CA |
| Zip Code | 91301-5358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962489237 | Esoterix, Inc | Clinical Medical Laboratory | 4301 Lost Hills Rd, Calabasas Hills, CA 91301-5358 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126823 | Krista Marie Windisch | Technician | 5836 Stonecrest Drive, Agoura, CA 91301 | 2019-10-22 |
| 1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1922484054 | Mahyar Okhovat, M.d. Inc | Psychiatry & Neurology | 2925 Canwood St, 109, Agoural Hills, CA 91301 | 2015-07-30 |
| 1982083929 | Alfred Charles Deciutiis Jr. | Internal Medicine | 32062 1/2 Lobo Canyon, Agoura, CA 91301 | 2015-05-22 |
| 1821401787 | Brandie Boghosian | Psychologist | 30200 Agoura Rd Ste 190, Agoura, CA 91301 | 2014-06-09 |
| 1114339041 | Unique Care Los Angeles Hospice, Inc. | Hospice Care, Community Based | 27001 Agoura Rd #110, Calabasas, CA 91301 | 2014-05-27 |
| 1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
| 1902152507 | Bethany Vaudrey | Psychologist | 28328 Agoura Rd Ste 102, Agoura Hills, CA 91301 | 2012-08-01 |
| 1508142472 | Jill Torres | Psychologist | 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 | 2011-10-24 |
| Find all providers in zip 91301 | ||||
| Taxonomy Code | 207SG0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Molecular Genetics |
| A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103873 | Rady Children's Hospital Research Center | Medical Genetics | 7910 Frost St Ste 240, San Diego, CA 92123-2781 | 2020-01-16 |
| 1083279830 | Diagnomics | Medical Genetics | 5795 Kearny Villa Rd, San Diego, CA 92123-1111 | 2019-05-07 |
| 1518428119 | Dnafeed Inc | Medical Genetics | 13423 Moreton Gln, San Diego, CA 92130-1421 | 2019-03-27 |
| 1063992386 | Jennifer D. Keen-kim | Medical Genetics | 201 Industrial Rd Ste 410, San Carlos, CA 94070-2396 | 2018-08-16 |
| 1073054722 | Helio Azevedo Costa | Medical Genetics | 3375 Hillview Ave Rm 2201, Palo Alto, CA 94304-1204 | 2017-03-14 |
| 1023190857 | Xiao-dong Han | Medical Genetics | 5755 Cottle Road, Building #6, Tpmg Regional Genetics Laboratory, San Jose, CA 95123 | 2006-10-20 |
| 1669082558 | Kristin Kimberly Mcdonald Gibson | Medical Genetics | 1400 16th St, San Francisco, CA 94103-5110 | 2020-08-05 |
| 1043846728 | Chia-ling Gau Kawakami | Medical Genetics | 15 Argonaut, Aliso Viejo, CA 92656-1423 | 2020-03-13 |
| 1174031850 | Saurav Guha | Medical Genetics | 180 Kimball Way, South San Francisco, CA 94080-6218 | 2018-01-17 |
| 1972057362 | Victoria Howell | Medical Genetics | 10666 N Torrey Pines Rd, Box 217, La Jolla, CA 92037-1027 | 2016-08-15 |
| Find all providers with the same taxonomy | ||||
| City | CALABASAS HILLS |
| Zip Code | 91301 |
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| 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.