Individual
CYNTHIA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
28000 SELFRIDGE LN, CARMEL, CA 93923-8502
(831) 298-7427
Mailing address
28000 SELFRIDGE LN, CARMEL, CA 93923-8502
(832) 298-7427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
601
AK
363A00000X
Physician Assistant
Primary
PA 23204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601
PA LICENSURE
AK
Enumeration date
09/20/2006
Last updated
06/10/2014
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