Jaclyn Kwan Pa, Apc

LBN: Jaclyn Kwan Pa, Apc
Jaclyn Kwan Pa, Apc is an health care organization with primary practice located at 6550 Ponto Dr Spc 140 , Carlsbad CA 92011-2317. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as the primary health care specialty. Jaclyn Kwan Pa, Apc can be contacted via phone (310) 619-1161, or through Kwan, Jaclyn via phone (310) 619-1161.

Contact Information

Primary practice address
6550 Ponto Dr Spc 140 Carlsbad CA 92011-2317
Phone: (310) 619-1161
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kwan, Jaclyn Physician Assistant (PA)
Phone: (310) 619-1161

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1164024881
LBN Legal business name Jaclyn Kwan Pa, Apc
DBA Doing business as
Authorized official Kwan, Jaclyn Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2020
Last updated Nov 9th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164024881 NPPES
California Other PA51734 PHYSICIAN ASSISTANT BOARD

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