Individual
SAMANTHA KAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3155 KEARNEY ST STE 100, FREMONT, CA 94538-2268
(510) 931-4310
Mailing address
3155 KEARNEY ST STE 100, FREMONT, CA 94538-2268
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA65161
CA
Other
Enumeration date
10/11/2024
Last updated
02/20/2026
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