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Search › California › 363LF0000X

Jacqueline Chan

NPI 1770240434 · on the registry since 2021 · sole proprietor

Practice

Address
4312 Woodman Ave Ste 300
Sherman Oaks, CA 91423
Phone
(818) 922-2129
Fax
(818) 922-2025
Organisation at this address
Mend Health Inc
Mend Medical Inc
Idt Home Health Inc
Anthony Cardillo Md
In Great Hands, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California