Individual
CHRISTINE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
516 CHESTNUT ST, SANTA CRUZ, CA 95060-3669
(831) 423-9015
(831) 423-9098
Mailing address
597 30TH AVE, SANTA CRUZ, CA 95062-5024
(818) 416-5529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63142
CA
Other
Enumeration date
11/21/2019
Last updated
09/08/2023
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