Individual
CRAIG CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18710 AMAR RD STE A, WALNUT, CA 91789-4571
(626) 522-6553
(844) 400-1763
Mailing address
2028 E EDGECOMB ST, COVINA, CA 91724-2203
(626) 965-2334
(626) 964-6504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13105
PA STATE LICENSE
CA
Enumeration date
06/27/2007
Last updated
06/10/2022
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