Chan, Freddy
Chan, Freddy is an individual health care provider with primary practice located at 2063 S Atlantic Blvd Suite 300, Monterey Park CA 91754-6344. He recently has 5 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Chan, Freddy can be contacted via phone (323) 796-0170.Contact Information
Primary practice address
2063 S Atlantic Blvd Suite 300
Monterey Park CA 91754-6344
Phone: (323) 796-0170
Fax: (323) 796-0220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA17266 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA17266 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA17266 | California |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | PA17266 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | PA17266 | California |
Profile Details
| NPI number | 1639289614 |
|---|---|
| LBN Legal business name | Chan, Freddy |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639289614 | NPPES |
| California | Other | PA17266 | STATE LICENSE NUMBER |
| California | MEDICAID | 00PA172660 | STATE LICENSE NUMBER |
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