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Jaclyn Kwan Pa, Apc
Surgical Physician Assistant in Carlsbad, California
NPI 1164024881

Jaclyn Kwan Pa, Apc is a Surgical Physician Assistant based in Carlsbad, CA and is specialized in Surgical. Jaclyn Kwan Pa, Apc practices in Carlsbad, CA. The NPI Number for Jaclyn Kwan Pa, Apc is 1164024881 and holds a License No. (California).

The current practice location address for Jaclyn Kwan Pa, Apc is 6550 Ponto Dr Spc 140, Carlsbad, CA and can be reached out via phone at 310-619-1161.

Location: 6550 Ponto Dr Spc 140, Carlsbad, CA, 92011-2317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164024881
Provider Name
Jaclyn Kwan Pa, Apc
Credential
Provider Entity Type
Organization
Address
6550 Ponto Dr Spc 140, Carlsbad, CA, 92011-2317
Phone Number
310-619-1161
Fax Number
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA51734 01 CA PHYSICIAN ASSISTANT BOARD
institution
Provider Business Practice Location Address Details
Address
6550 Ponto Dr Spc 140
City
Carlsbad
State
California
Zip
92011-2317
Phone Number
310-619-1161
Fax Number
person
Provider Business Mailing Address Details
Address
6550 Ponto Dr Spc 140
City
Carlsbad
State
California
Zip
92011-2317
Phone Number
310-619-1161
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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