Individual
ADRIENNE CAROL MAR CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1850 S AZUSA AVE STE 206, HACIENDA HEIGHTS, CA 91745-6853
(626) 810-5450
(626) 810-0391
Mailing address
PO BOX 31001-4303, PASADENA, CA 91110-0001
(858) 260-2977
(858) 332-1811
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
101049
CA
363A00000X
Physician Assistant
Primary
53152
CA
363AM0700X
Medical Physician Assistant
PA53152
CA
Other
Enumeration date
02/15/2016
Last updated
01/12/2026
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