DR. IVAN CHAN
NPI 1306572359
Dentist - General Practice in Glendale, CA

Active since July 30, 2022
435 ARDEN AVE STE 570, GLENDALE, CA 91203(916) 690-1508 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ivan Chan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVAN CHAN (NPI 1306572359) is an individual general practice provider in Glendale, California, licensed in California (107682) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1306572359
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IVAN CHAN
Location Address435 ARDEN AVE STE 570Glendale, CA 91203-1143
Mailing Address6704 Eskridge WayElk Grove, CA 95758-6361 · (916) 690-1508
Sole ProprietorYes
Enumeration DateJuly 30, 2022
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
NPI 1306572359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 107682
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

435 ARDEN AVE STE 570, Glendale, CA 91203

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
435 ARDEN AVE STE 570
GLENDALE, CA 91203
Dentist (General Practice)
435 ARDEN AVE STE 570
GLENDALE, CA 91203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306572359, enumerated as an "individual" on July 30, 2022.

The provider is located at 435 ARDEN AVE STE 570 GLENDALE, CA 91203 and the phone number is (916) 690-1508.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.