Most Relevant Information
Provider Data
NPI Number: | 1003284811 |
Provider Name: | KELSEY CHAN PA |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 019026 |
Most Important Dates
Enumeration Date: | 09/10/2015 |
Last Updated: | 02/24/2023 |
Provider Practice Location
14443 CULVER DR STE A
IRVINE
CA
926040343
Practice Location Phone/Fax
Phone: | 9497678173 |
Fax: |
Provider Mailing Location
875 TULAROSA
IRVINE
CA
926181118
Provider Mailing Phone/Fax
Phone: | 5162635675 |
Fax: |