Lisa S Chan

Primary specialty

DentistTaxonomy code 122300000X

License

034940 Issued in CA

Practice address

1551 Ocean Ave Ste 260
Santa Monica, CA 90401-2112

Phone

(310) 395-2345

NPI assigned

May 20, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1508185273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 OCEAN AVE STE 260",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012112",
            "telephone_number": "310-395-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 OCEAN AVE STE 260",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012112",
            "telephone_number": "310-395-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "LISA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "034940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Jean Chambers, L.AC.
• Margot Ellyn Chambers, L.AC.
• Anders Chan
• Chun Hin Chan, MD
• John Paul Chan, DPT
• Roxanne Chan, MD
• Sanny K Chan, M.D., PH.D.
• Sarah Mun Yee Chan, MD
• Vivian Hoi-Yan Chan, DPT, MS
• Charles Chandler, MD

• Dentist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.