Individual
AURELIO CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11627 TELEGRAPH RD, SUITE 105, SANTA FE SPRING, CA 90670
(562) 948-4004
(562) 948-4845
Mailing address
1809 E DYER RD, SUITE 313, SANTA ANA, CA 92705-5740
(949) 975-1900
(949) 975-0070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT26364A
PPIN
—
Enumeration date
09/30/2006
Last updated
01/10/2013
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