Individual
JASON STEFAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
53 S PUUNENE AVE STE 108, KAHULUI, HI 96732-2192
(808) 877-5657
(808) 877-5659
Mailing address
PO BOX 700127, KAPOLEI, HI 96709-0127
(808) 949-9585
(808) 748-3311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1080343
FL
363A00000X
Physician Assistant
Primary
AMD-381
HI
363AM0700X
Medical Physician Assistant
1080343
FL
363AS0400X
Surgical Physician Assistant
1080343
FL
Other
Enumeration date
10/12/2007
Last updated
11/18/2025
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