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Individual
DANIEL ENRIQUE CHAN
Active
Individual
DANIEL ENRIQUE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17553
CA
364SA2200X
Adult Health Clinical Nurse Specialist
PA17553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPA175530
PPIN #
—
Enumeration date
10/13/2006
Last updated
08/01/2024
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