Individual
ARIEL HAYDEE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
909 S FAIR OAKS AVE, PASADENA, CA 91105-2625
(626) 389-9300
Mailing address
455 SHARON RD, ARCADIA, CA 91007-7951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
65841
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2023
Last updated
02/04/2025
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