Janette Chan | San Jose, CA • PECOS Search

Janette Chan

Social Worker

Behavioral Health & Social Service Providers

232 E Gish Rd, San Jose, CA 95112-4706

(408) 453-7616 (408) 702-7003

PECOS Enrollment

Based on the most recent information from CMS, provider Janette Chan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821390063
Provider Type
Individual
Full Name
Chan, Janette
Title
Mrs.
Credential
MSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/19/2010
Last Updated
11/19/2010

Contact Information

Practice Location

232 E Gish Rd, San Jose, CA 95112-4706

Unlisted Fax

Mailing Location

800 E Charleston Rd Apt 3, Palo Alto, CA 94303-4627

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer