Provider Demographics
NPI:1033417118
Name:CHAN, FRANCIS
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:CHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:FRANCIS
Other - Middle Name:CHRISTIAN
Other - Last Name:CHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:720 SACRAMENTO ST
Mailing Address - Street 2:2/F
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-2535
Mailing Address - Country:US
Mailing Address - Phone:415-392-4453
Mailing Address - Fax:415-433-0953
Practice Address - Street 1:720 SACRAMENTO ST
Practice Address - Street 2:2/F
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-2535
Practice Address - Country:US
Practice Address - Phone:415-392-4453
Practice Address - Fax:415-433-0953
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health