Freddy Chan P.A.

NPI 1639289614 - Physician Assistant - 363AS0400X

NPI Details
NPI 1639289614
Gender Male
Enumeration Date 08/30/2006
Last Updated 03/22/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2063 S ATLANTIC BLVD
SUITE 300
MONTEREY PARK CA, 91754-6344, US
Phone (323) 796-0170
Fax (323) 796-0220
Business Location
5451 LA PALMA AVE
SUITE 25
LA PALMA CA, 90623-1730, US
Phone (714) 670-1340
Fax (714) 443-3780
Toxanomy
Taxonomy Code 363AS0400X
License State California
License Number PA17266
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According to our database, Freddy Chan P.A. NPI is 1639289614, taxonomy code is 363AS0400X and license number is PA17266, license state is located at California. Freddy Chan P.A. physically located at 2063 S Atlantic Blvd, Monterey Park CA, 91754-6344. NPI Number Freddy Chan P.A. has the Individual type.

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1639289614 NPI number is provided on an as is basis without warranty of any kind. 1639289614 is maintained by the National Plan & Provider Enumeration System. The contents of Freddy Chan P.A. are for informational purposes only.