DR. CAMILLE MARIE TOLENTINO CHAN MD
NPI 1174383020
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Dr. Camille Marie Tolentino Chan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAMILLE MARIE TOLENTINO CHAN MD (NPI 1174383020) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Camille Marie Tolentino Chan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Camille Marie Chan's NPI number?
The NPI number for Camille Marie Chan is 1174383020. It was assigned to this individual provider in the NPPES registry on March 19, 2024.
Where is Camille Marie Chan located?
Camille Marie Chan practices at 1200 N State St Ste A7d, Los Angeles, CA 90089. The listed phone number is (650) 490-0038.
What is Camille Marie Chan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Camille Marie Chan enrolled in Medicare?
Yes. Camille Marie Chan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Camille Marie Chan was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Camille Marie Tolentino Chan, MD · NPI 1174383020
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1174383020 (Entity type: Individual)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST STE A7D, Los Angeles, CA 90089-1001
- **Phone:** (650) 490-0038
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174383020) · Data from the CMS NPPES public registry.