Individual
MR. CLARENCE MATTHEW CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2110 W SUNSET BLVD STE M, LOS ANGELES, CA 90026-7318
(833) 873-2852
Mailing address
2110 W SUNSET BLVD STE M, LOS ANGELES, CA 90026-7318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52697
CA
Other
Enumeration date
07/07/2015
Last updated
05/07/2024
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