Organization · Type 2 NPI

Jaclyn Kwan Pa, Apc

Surgical Physician Assistant · Carlsbad, CA

NPI number 1164024881 Active

Practice location

6550 Ponto Dr Spc 140
Carlsbad, CA 92011-2317

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1164024881

Jaclyn Kwan Pa, Apc's National Provider Identifier is 1164024881, issued on Nov 9, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Carlsbad, CA. The record was last updated on Nov 9, 2020.