Betty Chan, PHARM.D.

Individual provider Active NPI Pharmacist · Ladera Ranch, CA

NPI 1609282276 · NPPES record last updated May 21, 2015

Key facts

NPI
1609282276
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
48895 (CA)
Practice address
3 Hammond Rd
Ladera Ranch, CA 92694-1414
Phone
(949) 241-7610
Fax
(949) 430-0832
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
48895CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 48895 CA Yes

Addresses

Primary practice location

3 Hammond Rd
Ladera Ranch, CA 92694-1414

Mailing address

3 Hammond Rd
Ladera Ranch, CA 92694-1414
Phone (949) 241-7610

Other names

  • Betty Lee Former name

Other providers in Ladera Ranch, CA

All providers in Ladera Ranch, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.