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Individual

JASON CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1901 W LUGONIA AVE STE 120, REDLANDS, CA 92374-9704
(909) 557-1600
Mailing address
1901 W LUGONIA AVE STE 120, REDLANDS, CA 92374-9704
(909) 557-1600

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A188545
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
A188545
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
DR.0067944
CO

Other

Enumeration date
04/14/2017
Last updated
08/18/2023
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