person
Ryan Nicholas Chan, PA
Surgical Physician Assistant in Orange, California
NPI 1093184988

Ryan Nicholas Chan is a Surgical Physician Assistant based in Corona, CA and is specialized in Surgical. Ryan Nicholas Chan practices in Orange, CA and has the professional credentials of PA. The NPI Number for Ryan Nicholas Chan is 1093184988 and holds a License No. 019033 (California).

The current practice location address for Ryan Nicholas Chan is 1310 W Stewart Dr Ste 503, Orange, CA and can be reached out via phone at 714-997-2224 and via fax at 714-997-1187.

Location: 1310 W Stewart Dr Ste 503, Orange, CA, 92883-3698
person
Provider Profile Details
NPI Number
1093184988
Provider Name
Ryan Nicholas Chan
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1310 W Stewart Dr Ste 503, Orange, CA, 92883-3698
Phone Number
714-997-2224
Fax Number
714-997-1187
Provider Enumeration Date
09/21/2015
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1128223 01 NCCPA
57966 01 CA PHYSICIAN ASSISTANT
institution
Provider Business Practice Location Address Details
Address
1310 W Stewart Dr Ste 503
City
State
Zip
92868-3856
Phone Number
714-997-2224
Fax Number
714-997-1187
person
Provider Business Mailing Address Details
Address
1310 W Stewart Dr Ste 503
City
State
Zip
92868-3856
Phone Number
714-997-2224
Fax Number
714-997-1187
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
019033 (New York)
Definition
Definition to come...
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