Individual provider · Type 1 NPI

Madonna Chan, PA-C

Medical Physician Assistant · Harbor City, CA

NPI number 1710038815 Active

Practice location

25825 Vermont Ave
Harbor City, CA 90710-3518

Call (310) 325-5111 Map

Mailing address

17324 Horst Ave
Cerritos, CA 90703-2736

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA16004 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1710038815

Madonna Chan, PA-C's National Provider Identifier is 1710038815, issued on Jan 15, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Harbor City, CA. The record was last updated on Dec 22, 2021.