Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel G Chan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295536290

Samuel G Chan is a Student in an Organized Health Care Education/Training Program in Thousand Oaks, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone: (805) 871-1854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1295536290
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address215 W Janss Rd, Thousand Oaks, CA 91360-1847

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