# JASON CHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891229050
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A188545 | CA | Yes |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | A188545 | CA | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | DR.0067944 | CO | — |

## Other

- **Enumeration date:** 04/14/2017
- **Last updated:** 08/18/2023