Freddy Chan, P.A.
Physician Assistant in Monterey Park, CA. Individual provider (NPI-1).
NPI number1639289614
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1639289614
- Entity type
- Individual (NPI-1)
- Name
- Freddy Chan
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA17266 | CA | Yes |
| 363AM0700X | Physician Assistant, Medical | PA17266 | CA | |
| 363AS0400X | Physician Assistant, Surgical | PA17266 | CA | |
| 207RR0500X | Internal Medicine, Rheumatology | PA17266 | CA | |
| 207X00000X | Orthopaedic Surgery | PA17266 | CA |
Practice location
2063 S Atlantic BlvdSuite 300
Monterey Park, CA 91754-6344
Phone 323-796-0170 · Fax 323-796-0220
Mailing address
5451 La Palma AveSuite 25
La Palma, CA 90623-1730
Phone 714-670-1340 · Fax 714-443-3780
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