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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LATISHA CHAN, DDS

Deactivated Sole Proprietor

DR. LATISHA CHAN, DDS is a Dentist healthcare provider located in SAN FRANCISCO, California. NPI 1255784161 is deactivated in the NPPES registry. Verify at CMS.

Dentist · SAN FRANCISCO, CA

This NPI has been deactivated. The record was deactivated on March 16, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1255784161
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2016 (1.6712328767123 yrs)
Last Updated
Mar 5, 2022
Deactivated
Mar 16, 2018
License
101720 (CA)
Sole Proprietor
Yes

Practice Information

Address
1826 NORIEGA ST
SAN FRANCISCO, CA, 941224324
Browse CA providers · Browse ZIP 94122
Phone
4155668908
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SAN FRANCISCO, CA

Name Credential NPI
DR. KAN L TOY DDS 1528050002
DR. WILSON WONG DDS 1376539429
NICK LEVI DDS 1003803065
RAY OLIVER LLOREN CAOILI DDS 1114908183
DR. BARRY BURSTEIN DDS 1710969043
DR. KENNETH ROBERT FREEMAN DDS 1124002944
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.