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Contact Information

CLARISSA S CHAN, PA-C
685 COLEMAN AVE STE 20
SAN JOSE, CA95110
 Phone: 408-217-6404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CLARISSA S CHAN · (Female)

NPI # 1356876064
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/01/2017
Last updated 12/11/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 54392
Hospital affiliation(s)
  • UNIVERSITY OF CALIFORNIA SAN DIEGO MEDICAL CENTER - (Acute Care)
    200 WEST ARBOR DRIVE
    SAN DIEGO, CA 92103
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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