Organization
JACLYN KWAN PA, APC
Active
Organization
JACLYN KWAN PA, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN KWAN PA (OWNER)
(310) 619-1161
Entity
Organization
Contact information
Practice address
6550 PONTO DR SPC 140, CARLSBAD, CA 92011-2317
(310) 619-1161
Mailing address
6550 PONTO DR SPC 140, CARLSBAD, CA 92011-2317
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA51734
PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
11/09/2020
Last updated
11/09/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up