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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639289614 NPPES
California Other PA17266 STATE LICENSE NUMBER
California MEDICAID 00PA172660 STATE LICENSE NUMBER

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