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Contact Information

JOHN CHAN, PA
215 W 4TH ST
PERRIS, CA92570-2010
 Phone: 951-486-5700
 Fax: 951-486-5705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOHN CHAN · (Male)

NPI Number 1447306980
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/26/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA11478
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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